| Lange Neurology, Pc | |
|
800a 5th Ave Ste 203 New York NY 10065-7215 | |
| (332) 334-6637 | |
| Not Available |
| Full Name | Lange Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800a 5th Ave Ste 203, New York, New York |
| Authorized Official Name and Position | Dale Joseph Lange (PRESIDENT) |
| Authorized Official Contact | 3323346637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lange Neurology, Pc 800a 5th Ave Ste 203 New York NY 10065-7215 Ph: (332) 334-6637 | Lange Neurology, Pc 800a 5th Ave Ste 203 New York NY 10065-7215 Ph: (332) 334-6637 |
| NPI Number | 1124729405 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 8527420546 |
|---|---|
| Medicare Enrollment ID | O20230808002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124729405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Dale J Lange |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528038841 PECOS PAC ID: 7810959079 Enrollment ID: I20041029000723 |
| Provider Name | Qian Qian Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558124958 PECOS PAC ID: 1658713367 Enrollment ID: I20240528000684 |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |