MEDICARE: STEVEN H. LANGSAM, D.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
1	1223G0001X	General Practice Dentistry	27908	NY

General Provider Information

NPI Number	:	1750500286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN H. LANGSAM, D.M.D.

Provider Business Mailing Address
First Line	:	2372 GERRITSEN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5700
Country	:	US
Telephone Number	:	718-332-2995
Fax Number	:	718-646-6240

Provider Business Practice Location Address
First Line	:	2372 GERRITSEN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5700
Country	:	US
Telephone Number	:	718-332-2995
Fax Number	:	718-646-6240

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. STEVEN H. LANGSAM
Credential	:	D.M.D.
Telephone Number	:	718-332-2995

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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