Lange, Malgorzata Anna

Lange, Malgorzata Anna is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Lange, Malgorzata Anna can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
8268 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 214906 New York

Profile Details

NPI number 1972696375
LBN Legal business name Lange, Malgorzata Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1972696375 NPPES
New York MEDICAID 00246075

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