Organization Name: | DAVID LANS, DO PLLC |
NPI Number: | 1306235130 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID LANS (DIRECTOR) |
Mailing Address: | 2900 Westchester Ave 3rd Floorny Purchase |
State: | NY US |
Postal Code: | 105772552 |
Phone Number: | 9142355577 |
Fax Number: | 9142357708 |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 149715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |