Healthcare Provider Details

I. General information

NPI: 1023791290
Provider Name (Legal Business Name): DANIEL LANGONE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COMMUNITY DR
MANHASSET NY
11030-3816
US

IV. Provider business mailing address

610 N JEFFERSON AVE
LINDENHURST NY
11757-2902
US

V. Phone/Fax

Practice location:
  • Phone: 631-525-6239
  • Fax:
Mailing address:
  • Phone: 631-525-6239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number728795
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: