Provider Demographics
NPI:1851544050
Name:STEVEN LANDMAN DPM PC
Entity Type:Organization
Organization Name:STEVEN LANDMAN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD MEDICAL BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-410-9666
Mailing Address - Street 1:1588 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3401
Mailing Address - Country:US
Mailing Address - Phone:212-410-9666
Mailing Address - Fax:212-348-1736
Practice Address - Street 1:1588 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3401
Practice Address - Country:US
Practice Address - Phone:212-410-9666
Practice Address - Fax:212-348-1736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003159213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty