Healthcare Provider Details

I. General information

NPI: 1326373366
Provider Name (Legal Business Name): KAREN A LANGONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4110
License Number StateNY

VIII. Authorized Official

Name: DR. KAREN A LANGONE
Title or Position: OWNER
Credential: DPM
Phone: 631-287-1818