Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 242886 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 242886 | NY |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 242886 | NY |
NPI | 1548383763 |
---|---|
Provider Name | Dr. Tali Lando |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 01/12/2021 |