Individual
ANNA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
550 PARK AVE, NEW YORK, NY 10065-7369
(212) 832-9228
(212) 751-9482
Mailing address
550 PARK AVE, NEW YORK, NY 10065-7369
(212) 832-9228
(212) 751-9482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008370
NY
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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