Landis, Gregg S
Landis, Gregg S is an individual health care provider with primary practice located at 1999 Marcus Ave Suite 106B, New Hyde Park NY 11042-1033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Landis, Gregg S can be contacted via phone (516) 233-3607.Contact Information
Primary practice address
1999 Marcus Ave Suite 106B
New Hyde Park NY 11042-1033
Phone: (516) 233-3607
Fax: (718) 962-2239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 221796 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 221796 | New York |
Profile Details
| NPI number | 1932156916 |
|---|---|
| LBN Legal business name | Landis, Gregg S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 9th, 2013 - about 11 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 | 1932156916 | NPPES |
| New York | Other | 00770K | MEDICARE PTAN - NYHMCQ-AMBSURG |
| New York | MEDICAID | 02270024 | MEDICARE PTAN - NYHMCQ-AMBSURG |
| New York | Other | P00262367 | MEDICARE PTAN - NYHMCQ-AMBSURG |
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