Anne Long
Contractor in Centerport, NY. Individual provider (NPI-1).
NPI number1295005692
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1295005692
- Entity type
- Individual (NPI-1)
- Name
- Anne Long
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2012
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
28 Sea Spray DrCenterport, NY 11721-1633
Phone 516-639-7122
Mailing address
28 Sea Spray DrCenterport, NY 11721-1633
Phone 516-639-7122
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