Healthcare Provider Details

I. General information

NPI: 1134034457
Provider Name (Legal Business Name): MS. CHRISTINA LANGENEGGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5815 ROME TABERG RD
ROME NY
13440-1759
US

IV. Provider business mailing address

5815 ROME TABERG RD
ROME NY
13440-1759
US

V. Phone/Fax

Practice location:
  • Phone: 315-336-4135
  • Fax: 315-336-4585
Mailing address:
  • Phone: 315-336-4135
  • Fax: 315-336-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number008200-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: