Provider Demographics
NPI:1639122765
Name:LANGER PROFESSIONAL SERVICES, INC.
Entity type:Organization
Organization Name:LANGER PROFESSIONAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:HUDKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-667-1200
Mailing Address - Street 1:450 COMMACK RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-4514
Mailing Address - Country:US
Mailing Address - Phone:631-667-1200
Mailing Address - Fax:631-254-2320
Practice Address - Street 1:450 COMMACK RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-4514
Practice Address - Country:US
Practice Address - Phone:631-667-1200
Practice Address - Fax:631-254-2320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier