Provider Demographics
NPI:1730117144
Name:LANG, RONALD (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:26 FIREMENS MEMORIAL DR
Mailing Address - Street 2:115
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3553
Mailing Address - Country:US
Mailing Address - Phone:800-750-8616
Mailing Address - Fax:845-362-8474
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE 312
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-376-2372
Practice Address - Fax:914-968-8975
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-06-26
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Provider Licenses
StateLicense IDTaxonomies
NY127676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00486131Medicaid
NY9255QGMedicare ID - Type Unspecified
NY00486131Medicaid