Ife Landsmark

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008096-1 Issued in NY

Legal business name

IFE LANDSMARK

Practice address

New Broadview Manor - 70 Father Capodanno Blvd
Staten Island, NY 10305

Phone

(718) 273-8900

NPI assigned

Nov 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Fales

Title

Office Manager

Phone

(631) 647-9011

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1306210125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MONTAUK HWY",
            "address_2": "SUITE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068322",
            "telephone_number": "631-647-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW BROADVIEW MANOR - 70 FATHER CAPODANNO BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-273-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFE LANDSMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FALES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-647-9011"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008096-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiby Iduculla
• Nanine Rhea Iengo Blomstrom
• Lubunmi Ifabiyi, MD
• Helen Ifatusin
• Olamide Ifatusin
• Chioma Ifeanyi
• Tara Marie Igneri, PA
• Taylor Christy Igneri
• Igor Stiler, M.D., P.C.
• Bernice Ikomi-Stone, RN BSN

• Clinical Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.