| Ife Landsmark | |
|
New Broadview Manor - 70 Father Capodanno Blvd Staten Island NY 10305 | |
| (718) 273-8900 | |
| Not Available |
| Full Name | Ife Landsmark |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | New Broadview Manor - 70 Father Capodanno Blvd, Staten Island, New York |
| Authorized Official Name and Position | Jamie Fales (OFFICE MANAGER) |
| Authorized Official Contact | 6316479011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ife Landsmark 260 Montauk Hwy Suite 8 Bay Shore NY 11706-8322 Ph: (631) 647-9011 | Ife Landsmark New Broadview Manor - 70 Father Capodanno Blvd Staten Island NY 10305 Ph: (718) 273-8900 |
| NPI Number | 1306210125 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306210125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 008096-1 (New York) | Primary |
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