Individual
SUSAN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS ROAD, HSC9, ROOM 065, STONY BROOK, NY 11794-0001
(631) 444-3987
Mailing address
101 NICOLLS ROAD, HSC9 RM 065, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
331264
NY
Other
Enumeration date
03/26/2017
Last updated
07/08/2024
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