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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881767119 NPPES
New York MEDICAID 3I 01546134 2

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