Provider Demographics
NPI:1427297175
Name:PREFERRED MEDICAL, P.C.
Entity type:Organization
Organization Name:PREFERRED MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LANDOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-277-2126
Mailing Address - Street 1:PO BOX 761
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-0761
Mailing Address - Country:US
Mailing Address - Phone:516-277-2126
Mailing Address - Fax:516-277-2122
Practice Address - Street 1:420 JERICHO TPKE
Practice Address - Street 2:SUITE 212
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1344
Practice Address - Country:US
Practice Address - Phone:516-277-2126
Practice Address - Fax:516-277-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty