1093872913 NPI number — MS. ANN LANG MA OTR CHT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093872913 NPI number — MS. ANN LANG MA OTR CHT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANG
Provider First Name:
ANN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA OTR CHT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093872913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
263 W END AVE APT 1C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10023-2613
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-787-6585
Provider Business Mailing Address Fax Number:
212-501-0238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
263 W END AVE APT 1C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10023-2613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-787-6585
Provider Business Practice Location Address Fax Number:
212-501-0238
Provider Enumeration Date:
01/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  02146 1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 65020 . This is a "CIGNA ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NS653 . This is a "OXFORD HEALTHPLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0189870001 . This is a "DME MEDICARE REGION A" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1C9939 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0011210 . This is a "AETNA ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0065020 . This is a "HEALTHNET ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4281949 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 475517 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: Q54711 . This is a "EMPIRE HEALTHCARE AN EMPI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 811646 . This is a "MANAGED PHYSICAL NTWK" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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