Individual
MS. PHYLLIS SUSAN LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 EAST 42ND STREET, MAILSTOP 150386, NEW YORK, NY 10017
(917) 572-7894
(212) 808-8679
Mailing address
235 EAST 42ND STREET, MAILSTOP 150386, NEW YORK, NY 10017
(917) 572-7894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00205101
—
NY
Enumeration date
04/06/2007
Last updated
01/23/2009
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