Timothy Donald Landis MD

NPI 1972601425 - Specialist - 174400000X

NPI Details
NPI 1972601425
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5 PINE WEST PLZ
SUITE 510
ALBANY NY, 12205-5587, US
Phone (518) 690-0203
Fax
Business Location
5 PINE WEST PLZ
SUITE 510
ALBANY NY, 12205-5587, US
Phone (518) 690-0203
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 210815-1
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According to our database, Timothy Donald Landis MD NPI is 1972601425, taxonomy code is 174400000X and license number is 210815-1, license state is located at New York. Timothy Donald Landis MD physically located at 5 Pine West Plz, Albany NY, 12205-5587. NPI Number Timothy Donald Landis MD has the Individual type.

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1972601425 NPI number is provided on an as is basis without warranty of any kind. 1972601425 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Donald Landis MD are for informational purposes only.