Healthcare Provider Details

I. General information

NPI: 1821011131
Provider Name (Legal Business Name): KAREN A LANGONE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 COUNTY ROAD 39A STE 9
SOUTHAMPTON NY
11968-5284
US

IV. Provider business mailing address

365 COUNTY ROAD 39A STE 9
SOUTHAMPTON NY
11968-5284
US

V. Phone/Fax

Practice location:
  • Phone: 631-287-1818
  • Fax: 631-287-1838
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number004110
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: