Landa, Sanford R.
Landa, Sanford R. is an sole proprietor health care provider with primary practice located at 6 Smith St , Nanuet NY 10954-2913. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Landa, Sanford R. can be contacted via phone (845) 623-7782.Contact Information
Primary practice address
6 Smith St
Nanuet NY 10954-2913
Phone: (845) 623-7782
Fax: (845) 623-0648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7391 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PRO22975 -1 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00189600 | New Jersey |
Profile Details
NPI number | 1881767119 |
---|---|
LBN Legal business name | Landa, Sanford R. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881767119 | NPPES |
New York | MEDICAID | 3I 01546134 2 |
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