Individual
DAVID OTTO LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2205 NOTT ST, NISKAYUNA, NY 12309-4346
(518) 374-3324
(518) 374-3325
Mailing address
2205 NOTT ST, NISKAYUNA, NY 12309-4346
(518) 374-3324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00536094
—
NY
Enumeration date
06/16/2011
Last updated
08/15/2024
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