Individual
DR. DALE J LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800A 5TH AVE STE 203, NEW YORK, NY 10065-7215
(332) 334-6637
Mailing address
15 ECHO RIDGE DR, SARATOGA SPRINGS, NY 12866-8752
(917) 515-3110
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
150048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00780456
—
NY
05
—
008063221
—
CT
01
—
013JT1
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
01/26/2006
Last updated
02/17/2023
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