Landor, Michael

Landor, Michael is an sole proprietor health care provider with primary practice located at 6920 Main St , Flushing NY 11367-1703. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Landor, Michael can be contacted via phone (718) 793-9020.

Contact Information

Primary practice address
6920 Main St Flushing NY 11367-1703
Phone: (718) 793-9020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 184552 New York
Other Service Providers / Specialist 174400000X 184552 New York

Profile Details

NPI number 1245293687
LBN Legal business name Landor, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Sep 17th, 2010 - about 16 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 1245293687 NPPES
New York MEDICAID 01694724

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