MICHAEL LONG

SMITHTOWN, NY
NPI1184045692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  276687)
Enumeration Date2013-12-31
Last Update Date2013-12-31
Business Address
-- MICHAEL LONG
11 ROUTE 111
SMITHTOWN, NY 11787-3739
Phone number: 631-920-8306
Mailing Address
-- MICHAEL LONG
12 OHARA PL
HUNTINGTON, NY 11743-1248
Phone number: 631-428-0649
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