1518087196 NPI number — MRS. NIAMH MARIA LANGELLA BSC(HONS)

Table of content: MRS. KATHERINE NICOLE WILLIAMS MSPAS, PA-C (NPI 1770832495)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518087196 NPI number — MRS. NIAMH MARIA LANGELLA BSC(HONS)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGELLA
Provider First Name:
NIAMH
Provider Middle Name:
MARIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BSC(HONS)
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:
1518087196
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BREEZY POINT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11697-1217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-318-5677
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10322 ROCKAWAY BEACH BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKAWAY PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11694-2744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-318-8550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2007

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: 225100000X , with the licence number:  019872 , 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)