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General NPI Number Information
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NPI Number | 1891859781
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Entity Type | Individual
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Provider Name | ANGELINA VENTURA LAUCHANGCO M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 E 47TH ST 1A
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City | NEW YORK
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State | NY
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Zip | 10017-2009
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Country | US
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Telephone | 646-840-0262
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Fax | 212-888-0249
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Provider Business Mailing Address
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Address Line | 450 E 20TH ST 8B
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City | NEW YORK
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State | NY
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Zip | 10009-8238
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Country | US
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Telephone | 212-228-6564
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Fax | 212-995-5790
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 205550
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA61650
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License Number State | NY
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