Individual
DOV B LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
138 DIVISION AVE, BROOKLYN, NY 11211-7117
(718) 387-2408
Mailing address
734 LEFFERTS AVE, BROOKLYN, NY 11203-1213
(718) 774-7989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011202
NY
Other
Enumeration date
02/20/2007
Last updated
01/07/2009
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