Landolf, Michael J

Landolf, Michael J is an individual health care provider with primary practice located at 600 Ivy St Suite 106, Elmira NY 14905-1627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Landolf, Michael J can be contacted via phone (607) 737-4539.

Contact Information

Primary practice address
600 Ivy St Suite 106 Elmira NY 14905-1627
Phone: (607) 737-4539
Fax: (607) 737-7783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 178052 New York
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 178052 New York

Profile Details

NPI number 1578538005
LBN Legal business name Landolf, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jun 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578538005 NPPES
New York MEDICAID 01478344

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