Provider Demographics
NPI:1427175769
Name:LANDAU, DEBORAH M (PT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:LANDAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 W 20TH ST
Mailing Address - Street 2:SUITE 806
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3706
Mailing Address - Country:US
Mailing Address - Phone:212-226-2066
Mailing Address - Fax:212-500-0039
Practice Address - Street 1:37 W 20TH ST
Practice Address - Street 2:SUITE 806
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3706
Practice Address - Country:US
Practice Address - Phone:212-226-2066
Practice Address - Fax:212-500-0039
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY019535-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist