| Doctor Name: | DR. ROBERT J LANDY |
| NPI Number: | 1093715633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | N005031 |
| Business Practice Address: | 400 Montauk Hwy Suite 111 West Islip, NY - 117954429 |
| Business Phone Number: | 6316695440 |
| Business Fax Number: | 6316694403 |
| Mailing Address: | 400 Montauk Hwy, Suite 111 WEST ISLIP |
| State: | NY |
| Postal Code: | 117954429 |
| Phone Number: | 6316695440 |
| Fax Number: | 6316694403 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N005031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |