Provider Demographics
NPI:1538587688
Name:LANDI, ERIC (DC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:LANDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 CHESTNUT RIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7201
Mailing Address - Country:US
Mailing Address - Phone:845-356-4848
Mailing Address - Fax:845-352-5664
Practice Address - Street 1:20 BRADSHAW CT
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-2452
Practice Address - Country:US
Practice Address - Phone:845-641-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70012400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor