Individual
JOAN LISANNE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DAKOTA DR, STE 100, NEW HYDE PARK, NY 11042
(516) 622-7337
(516) 622-7331
Mailing address
2 OHIO DR, NEW HYDE PARK, NY 11042-1111
(516) 622-7337
(516) 622-7331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206510
NY
Other
Enumeration date
07/25/2006
Last updated
05/08/2019
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