Provider Demographics
NPI:1821011131
Name:LANGONE, KAREN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:LANGONE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 COUNTY ROAD 39A
Mailing Address - Street 2:STE 9
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:365 COUNTY ROAD 39A
Practice Address - Street 2:STE 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004110213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY15337OtherVYTRA
NY0036735OtherGHI
NY15337OtherVYTRA
NY0036735OtherGHI
NYP42941Medicare ID - Type Unspecified