Individual
DR. JOHN LARANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6022 MAIN ST, SUITE # 8, TANNERSVILLE, NY 12485-0910
(518) 589-5683
Mailing address
PO BOX 910, TANNERSVILLE, NY 12485-0910
(518) 589-5683
(518) 589-6327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X6U041
MEDICARE PROVIDER#
NY
Enumeration date
07/01/2008
Last updated
07/01/2008
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