Most Relevant Information
Provider Data
| NPI Number: | 1003562489 |
| Provider Name: | STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 648718 |
Most Important Dates
| Enumeration Date: | 02/24/2022 |
| Last Updated: | 09/08/2024 |
Provider Practice Location
301 E MAIN ST
BAY SHORE
NY
117068408
Practice Location Phone/Fax
| Phone: | 5167347000 |
| Fax: |
Provider Mailing Location
34 ARLEIGH DR
ALBERTSON
NY
115071206
Provider Mailing Phone/Fax
| Phone: | 9145134200 |
| Fax: |