Landry, Marie L
Landry, Marie L is an individual health care provider with primary practice located at 20 York Street Yale New Haven Hospital-Cb 407, New Haven CT 06519-1369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Landry, Marie L can be contacted via phone (203) 688-3475.Contact Information
Primary practice address
20 York Street Yale New Haven Hospital-Cb 407
New Haven CT 06519-1369
Phone: (203) 688-3475
Fax: (203) 688-8177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 019372 | Connecticut |
Profile Details
| NPI number | 1174514566 |
|---|---|
| LBN Legal business name | Landry, Marie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Aug 22nd, 2008 - about 16 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 | 1174514566 | NPPES |
| Connecticut | MEDICAID | 001193721 |
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