Individual
JEFFREY M. RANGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 01 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
79 01 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
214258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061127
—
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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