Organization
PEGGY LANGELLA
Active
Parent organization
PEGGY LANGELLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEGGY LANGELLA
Authorized official
MRS. PEGGY V LANGELLA (LPN)
(845) 462-8379
Entity
Organization
Contact information
Practice address
15 HIGH CT, POUGHKEEPSIE, NY 12603-5618
(845) 462-8379
Mailing address
15 HIGH CT, POUGHKEEPSIE, NY 12603-5618
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
01375139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01735139
—
NY
Enumeration date
12/13/2011
Last updated
12/13/2011
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