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NPI Code Detail

MEDICARE: DR. ALEXIS F LANG M.D.

MEDICARE:  DR. ALEXIS F LANG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician152055NY

General Provider Information

NPI Number : 1295970549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXIS F LANG M.D.
Provider Business Mailing Address
First Line : 1258 W FRONT ST
Second Line : P O BOX 561
City : LINCROFT
State : NJ
Zip : 07738-1243
Country : US
Telephone Number : 908-915-3488
Fax Number : 732-530-5813
Provider Business Practice Location Address
First Line : 9401 ASTORIA BLVD
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11369-1534
Country : US
Telephone Number : 718-639-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2008
Last Update Date : 12/15/2008

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Directions to “ DR. ALEXIS F LANG M.D.” Practice Location

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