Provider Demographics
NPI:1457355026
Name:LANDAUER METROPOLITAN, INC
Entity Type:Organization
Organization Name:LANDAUER METROPOLITAN, INC
Other - Org Name:LOW RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-IAROCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:855-914-9140
Mailing Address - Street 1:270 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5504
Mailing Address - Country:US
Mailing Address - Phone:800-794-0490
Mailing Address - Fax:718-321-7505
Practice Address - Street 1:270 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5504
Practice Address - Country:US
Practice Address - Phone:800-794-0490
Practice Address - Fax:718-321-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01052964Medicaid
NY02757940Medicaid
NY=========OtherTIN
NY01052964Medicaid
NY0307590001Medicare NSC