Individual
EDITH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(201) 696-5798
Mailing address
42-00 COSGROVE CT, FAIR LAWN, NJ 07410-5913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353856
NY
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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