Basic Information
Provider Information
NPI: 1568622678
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANGMAN
FirstName: YARON
MiddleName: DOV
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 974 ROUTE 45
Address2:  
City: POMONA
State: NY
PostalCode: 109703520
CountryCode: US
TelephoneNumber: 8453543700
FaxNumber:  
Practice Location
Address1: 974 ROUTE 45
Address2:  
City: POMONA
State: NY
PostalCode: 109703520
CountryCode: US
TelephoneNumber: 8453543700
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2008
LastUpdateDate: 05/03/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X240303NYY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home