Landsman, Keith Neal
Landsman, Keith Neal is an sole proprietor health care provider with primary practice located at 6565 Wetherole St , Rego Park NY 11374-4764. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Landsman, Keith Neal can be contacted via phone (718) 897-4545.Contact Information
Primary practice address
6565 Wetherole St
Rego Park NY 11374-4764
Phone: (718) 897-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 045770 | New York |
Profile Details
| NPI number | 1285786137 |
|---|---|
| LBN Legal business name | Landsman, Keith Neal |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285786137 | NPPES |
| New York | MEDICAID | 01564121 |
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