Provider Demographics
NPI:1376875922
Name:KUSCH-LANGO, FELICITAS (YTR)
Entity type:Individual
Prefix:MS
First Name:FELICITAS
Middle Name:
Last Name:KUSCH-LANGO
Suffix:
Gender:F
Credentials:YTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 QUAKER RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2118
Mailing Address - Country:US
Mailing Address - Phone:716-655-3924
Mailing Address - Fax:
Practice Address - Street 1:542 QUAKER RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2118
Practice Address - Country:US
Practice Address - Phone:716-655-3924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator