Michael J Lange in Greene - Specialist

Michael J Lange - NPI 1043306350

Michael J Lange is a Specialist in Greene, New York. Michael J Lange practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael J Lange is 1043306350. The last update date is 2007-07-09.

Michael J Lange's current location address is 29 N Chenango St, Greene, New York. You can contact this provider via phone number 6076564485 and fax number 6076564648. The mailing address for Michael J Lange is 29 N Chenango St, Greene, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Lange
Address 29 N Chenango St, Greene, New York
Phone Number 6076564485
Fax Number 6076564648
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1043306350
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 29 N Chenango St
City Greene
State New York (NY)
Post Code 137781139
Phone Number 6076564485
Fax Number 6076564648

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No T89592
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
728258 NY --

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FAQs about Michael J Lange

What is the Michael J Lange's 1043306350?

The Michael J Lange's NPI (National Provider Identifier) Number is 1043306350. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael J Lange is physically located?

The Michael J Lange is physically situated at the following address: 29 N Chenango St, Greene, NY, 137781139.

What is the Michael J Lange's specialty and taxonomy code?

The Michael J Lange's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043306350 to Michael J Lange?

The Centers for Medicare & Medicaid Services originally issued the 1043306350 to Michael J Lange on 2006-10-05.

As of what date was the information pertaining to Michael J Lange, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael J Lange, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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