Lang, Amy

Lang, Amy is an sole proprietor health care provider with primary practice located at 600 Northern Blvd Ste 100 , Great Neck NY 11021-5200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lang, Amy can be contacted via phone (516) 482-3223.

Contact Information

Primary practice address
600 Northern Blvd Ste 100 Great Neck NY 11021-5200
Fax: (516) 482-2553
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00312200 New Jersey

Profile Details

NPI number 1528499639
LBN Legal business name Lang, Amy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2013
Last updated Apr 3rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528499639 NPPES
New York MEDICAID 04705079

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