Provider Demographics
NPI:1669670022
Name:LANGNER, EVE ELLEN
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:ELLEN
Last Name:LANGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W 75TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1904
Mailing Address - Country:US
Mailing Address - Phone:212-799-2194
Mailing Address - Fax:
Practice Address - Street 1:102 WEST 75TH STREET
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1904
Practice Address - Country:US
Practice Address - Phone:212-799-2194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013625-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01949751Medicaid
NYV82321Medicare ID - Type Unspecified