Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | CH4016 | FL |
Y | 111NS0005X | Chiropractic Sports Physician | X2977 | NY |
NPI | 1285664714 |
---|---|
Provider Name | Dr. Warren H Landesberg |
First Address | Briarcliff Manor, NY 10510-1632 |
Second Address | Briarcliff Manor, NY 10510-1632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |