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Individual

LAURENCE LANDAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4230 HEMPSTEAD TPKE STE 200, BETHPAGE, NY 11714
(516) 233-1919
(516) 731-7302
Mailing address
PO BOX 416, BETHPAGE, NY 11714-0416
(516) 233-1919
(516) 731-7302

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01407767
NY
Enumeration date
11/14/2006
Last updated
04/24/2023
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