Individual provider · Type 1 NPI
Naomi Lange
Medical Physician Assistant · Patchogue, NY
NPI number
1740833557
Active
Practice location
117 Jayne Ave
Patchogue, NY 11772-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1740833557
Naomi Lange's National Provider Identifier is 1740833557, issued on Jul 20, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Patchogue, NY. The record was last updated on Jul 20, 2019.