GENA MARIE LONG

BUFFALO, NY
NPI1083303846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F404718-01)
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
Mrs. GENA MARIE LONG PMHNP
62 WILEY PL
BUFFALO, NY 14207-1644
Phone number: 716-238-1621
Mailing Address
Mrs. GENA MARIE LONG PMHNP
62 WILEY PL
BUFFALO, NY 14207-1644
Phone number: 716-238-1621
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