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NPI Code Detail

MEDICARE: DR. ANGELINA VENTURA LAUCHANGCO M.D.

MEDICARE: DR. ANGELINA VENTURA LAUCHANGCO 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
1207Q00000XFamily Medicine Physician205550NY
2207Q00000XFamily Medicine PhysicianMA61650NY

General Provider Information

NPI Number : 1891859781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELINA VENTURA LAUCHANGCO M.D.
Provider Business Mailing Address
First Line : 450 E 20TH ST
Second Line : 8B
City : NEW YORK
State : NY
Zip : 10009-8238
Country : US
Telephone Number : 212-228-6564
Fax Number : 212-995-5790
Provider Business Practice Location Address
First Line : 155 E 47TH ST
Second Line : 1A
City : NEW YORK
State : NY
Zip : 10017-2009
Country : US
Telephone Number : 646-840-0262
Fax Number : 212-888-0249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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