DEBORAH LANDERS


Address: 1561 Long Pond Rd Ste 220, Rochester, NY 14626-4135
Phone: 5853683506

DEBORAH LANDERS (NPI# 1265892970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265892970
Entity Type Individual
Full Name DEBORAH LANDERS
Other Name DEBORAH ASHLEY JOHNSTEN
Credential ANP
Practice Address 1561 Long Pond Rd Ste 220
Rochester
NY 14626-4135
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5853683506
Practice Fax Number 5853683163
Mailing Telephone 5853683506
Mailing Fax Number 5853683163
Enumeration Date 2016-02-24
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
307439 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 04340098 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
127 North St, Batavia, NY 140201631 5853436030 5853447434
190 Washington Ave, Batavia, NY 140202113 5853424030 5859225430
89 Genesee St Bldg 3, Rochester, NY 146113201 5853683506 5853683163

Office Location

Street Address 1561 LONG POND RD STE 220
City ROCHESTER
State NY
Zip Code 14626-4135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689635054 Laurie A Proia Internal Medicine 1561 Long Pond Rd Ste 220, Rochester, NY 14626-4135 2006-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760978084 Elizabeth M Neenan Nurse Practitioner 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 2018-07-10
1811488737 Anthony Richard Mesolella Dentist 2081 W Ridge Rd Ste 204, Rochester, NY 14626 2018-05-26
1285157370 Heather Kate Byam Nurse Anesthetist, Certified Registered 280 Mill Road, Rochester, NY 14626 2017-07-20
1710415039 Abner O De Los Santos Dentist 120 Erie Canal Dr Ste 150, Rochester, NY 14626 2017-05-31
1609308709 Ulfat Shafiq Dentist 1100 Long Pond Rd Ste 115, Greece, NY 14626 2017-03-29
1174982953 S.a.v.o.c L.l.c Preferred Provider Organization 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 2016-02-22
1700244357 Kerri Anne Sawyer Registered Nurse 82 Southridge Drive, Rochester, NY 14626 2016-02-10
1518398106 Braces of Greece Exclusive Provider Organization 770 Fetzner Rd., Rochester, NY 14626 2013-12-06
1477983443 Amy Pawlyk Licensed Practical Nurse 116 Annie Lane, Rochester, NY 14626 2013-11-12
1689911208 Kathleen Zimmerman Occupational Therapist 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 2013-01-16
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043829047 Ruhi Bedi Sondhi Nurse Practitioner 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 2020-07-26
1346865920 Christopher M Mccarty Nurse Practitioner 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 2020-06-10
1811510555 Stacey Sang Nurse Practitioner 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 2020-05-27
1093365280 Brittany Lewis Nurse Practitioner 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 2019-09-19
1245891431 Julie Loce Nurse Practitioner 222 Alexander St Ste 2400, Rochester, NY 14607-4010 2019-06-27
1467013433 Henry Robert Newcomb Nurse Practitioner 300 Crittendon Blvd, Rochester, NY 14642-0001 2019-06-21
1689159162 Mariya A Canham Nurse Practitioner 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 2018-10-01
1013447747 Lauren Beth Bartus Nurse Practitioner 601 Elmwood Ave # 619, Rochester, NY 14642-0001 2017-06-15
1730634502 Susan Lee Riggan Nurse Practitioner 408 Meadow Brook Rd, Rochester, MI 48309-4452 2016-08-22
1093197857 Katelynn Ann Coffey Nurse Practitioner 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 2015-06-29
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Competitor

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City ROCHESTER
Zip Code 14626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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