David Youmatz Landi, PARAMEDIC

Individual provider Active NPI Paramedic · Vernon Rockville, CT

NPI 1770099673 · NPPES record last updated Dec 14, 2017

Key facts

NPI
1770099673
Entity type
Individual (NPI type 1)
Primary specialty
Paramedic 146L00000X
License
002341 (CT)
Practice address
31 Union St
Vernon Rockville, CT 06066-3126
Phone
(860) 871-5201
NPI assigned
Dec 14, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002341CTMDParamedic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 002341 CT Yes

Addresses

Primary practice location

31 Union St
Vernon Rockville, CT 06066-3126

Mailing address

46 Deering LN
Bristol, CT 06010-7615

Other identifiers

IdentifierTypeStateIssuer
002341OtherCTPARAMEDIC LICENSE

Other providers in Vernon Rockville, CT

All providers in Vernon Rockville, CT · Paramedic in Connecticut

Sources for this page

Verify at the official NPI Registry.