Individual
LINDA L LANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4101
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951202
—
NY
Enumeration date
09/20/2006
Last updated
01/29/2010
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