Provider Demographics
NPI:1326373366
Name:KAREN A LANGONE
Entity Type:Organization
Organization Name:KAREN A LANGONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANGONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:631-287-1818
Mailing Address - Street 1:365 COUNTY ROAD 39A
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5284
Mailing Address - Country:US
Mailing Address - Phone:631-287-1818
Mailing Address - Fax:631-287-1838
Practice Address - Street 1:365 COUNTY ROAD 39A
Practice Address - Street 2:SUITE 9
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5284
Practice Address - Country:US
Practice Address - Phone:631-287-1818
Practice Address - Fax:631-287-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4110332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
T51329Medicare UPIN