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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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