Provider Demographics
NPI:1588846455
Name:ANN LANG MA OTR CHT
Entity Type:Organization
Organization Name:ANN LANG MA OTR CHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HAND THERAPIST OCCUPATION
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:MA OTR CHT
Authorized Official - Phone:212-787-6585
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4281949OtherAETNA
NY0189870001Medicare NSC
Q54711Medicare PIN