Provider Demographics
NPI:1922272582
Name:NEAL P HOUSLANGER, DPM, PC
Entity Type:Organization
Organization Name:NEAL P HOUSLANGER, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSLANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:631-549-0955
Mailing Address - Street 1:440 WAVERLY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1597
Mailing Address - Country:US
Mailing Address - Phone:631-654-3838
Mailing Address - Fax:
Practice Address - Street 1:62 GREEN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6912
Practice Address - Country:US
Practice Address - Phone:631-549-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002665213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty