Provider Demographics
NPI:1487734034
Name:LANDI, DENISE DELIA (DC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:DELIA
Last Name:LANDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LAWRENCE PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4408
Mailing Address - Country:US
Mailing Address - Phone:914-376-6900
Mailing Address - Fax:914-376-6997
Practice Address - Street 1:733 YONKERS AVE
Practice Address - Street 2:SUITE LL2
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2635
Practice Address - Country:US
Practice Address - Phone:914-376-6900
Practice Address - Fax:914-376-6997
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY489098OtherAETNA PROVIDER #
NYP651423OtherOXFORD PROVIDER #
NY0013320OtherGHI PROVIDER #
NYT53087Medicare UPIN
NY489098OtherAETNA PROVIDER #