Mirian L Landi Buestan
Early Intervention Provider Agency in Newark, NJ. Individual provider (NPI-1).
NPI number1477462364
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1477462364
- Entity type
- Individual (NPI-1)
- Name
- Mirian L Landi Buestan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 2836122 | NY | Yes |
Practice location
144 Hobson StNewark, NJ 07112-1322
Phone 646-322-2947
Mailing address
144 Hobson StNewark, NJ 07112-1322
Phone 646-322-2947
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