Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 147928 | NY |
NPI | 1275613747 |
---|---|
Provider Name | Ellen J Landsberger |
First Address | Fort Lee, NJ 07024-5471 |
Second Address | Larchmont, NY 10538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |