JONATHAN MICHEAL LONGANO

MEDFORD, NY
NPI1447621081
Professional NameJONATHAN MICHEAL LONGANO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2472R0900X Technician, Other, Renal Dialysis
Enumeration Date2015-10-08
Last Update Date2022-07-21
Business Address
Mr. JONATHAN MICHEAL LONGANO Pct
63 WHITE PINE WAY
MEDFORD, NY 11763-4215
Phone number: 631-793-7260
Mailing Address
Mr. JONATHAN MICHEAL LONGANO Pct
63 WHITE PINE WAY
MEDFORD, NY 11763-4215
Phone number: 631-793-7260