Individual
MRS. DEBRA LANGENDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
33 NEWKIRK AVE, EAST ROCKAWAY, NY 11518-1619
(516) 887-4901
Mailing address
33 NEWKIRK AVE, EAST ROCKAWAY, NY 11518-1619
(516) 887-4901
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
534378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
SPECIAL EDUCATOR
NY
Enumeration date
06/06/2012
Last updated
06/06/2012
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