Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 021532 | NY |
N | 1223P0700X | Prosthodontist | 021532 | NY |
NPI | 1144301011 |
---|---|
Provider Name | Dr. Lloyd Sherwin Landa |
First Address | New York, NY 10022 |
Second Address | New York, NY 10022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |