Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 842 | NH |
Y | 152W00000X | Optometrist | OEG002555 | PA |
N | 152W00000X | Optometrist | TUV007766-1 | NY |
NPI | 1003129123 |
---|---|
Provider Name | Dr. Delia Landy |
First Address | Jamestown, NY 14701-7762 |
Second Address | Bradford, PA 16701-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2010 |
Last Update Date | 30/11/2011 |