Provider Demographics
NPI:1093872913
Name:LANG, ANN (MA OTR CHT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:LANG
Suffix:
Gender:F
Credentials:MA OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 W END AVE APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2613
Mailing Address - Country:US
Mailing Address - Phone:212-787-6585
Mailing Address - Fax:212-501-0238
Practice Address - Street 1:263 W END AVE APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2613
Practice Address - Country:US
Practice Address - Phone:212-787-6585
Practice Address - Fax:212-501-0238
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02146 1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY65020OtherCIGNA ORTHONET
NYNS653OtherOXFORD HEALTHPLANS
0189870001OtherDME MEDICARE REGION A
NY1C9939OtherHEALTHNET
NY0011210OtherAETNA ORTHONET
NY0065020OtherHEALTHNET ORTHONET
NY4281949OtherAETNA
NY475517OtherUNITED HEALTHCARE
NYQ54711OtherEMPIRE HEALTHCARE AN EMPI
NY811646OtherMANAGED PHYSICAL NTWK
NY0065020OtherHEALTHNET ORTHONET
NY475517OtherUNITED HEALTHCARE