Desiree L. Long, PA
Physician Assistant in North Syracuse, NY. Individual provider (NPI-1).
NPI number1508167644
StatusActive
Last updated in NPPESMar 5, 2013
Details
- NPI
- 1508167644
- Entity type
- Individual (NPI-1)
- Name
- Desiree L. Long
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2010
- Last updated
- Mar 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 014364 | NY | Yes |
Other names
- Desiree L. Woods (Former Name)
Practice location
5496 E Taft RdNorth Syracuse, NY 13212-3784
Phone 315-552-6700 · Fax 315-552-6701
Mailing address
5496 E Taft RdNorth Syracuse, NY 13212-3784
Phone 315-552-6700 · Fax 315-552-6701
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in North Syracuse, NY
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- Parker William Lobel, PANPI 1184340499
- Jaimie W Newman, PANPI 1265785976
- Andrea Noffey, PANPI 1679782023
- Christopher J O'BrienNPI 1780225623
- Chelsea Taylor, PANPI 1215474184
All 10 Physician Assistant providers in North Syracuse · All 406 providers in North Syracuse
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