Healthcare Provider Details

I. General information

NPI: 1497783583
Provider Name (Legal Business Name): MARIE-NOELLE S LANGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 E 87TH ST SUITE 502
NEW YORK NY
10128-2226
US

IV. Provider business mailing address

177 E 87TH ST SUITE 502
NEW YORK NY
10128-2226
US

V. Phone/Fax

Practice location:
  • Phone: 212-744-2345
  • Fax: 212-744-2129
Mailing address:
  • Phone: 212-744-2345
  • Fax: 212-744-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number192546
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number192546
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: