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1508004185
KATHLEEN ANN LONGO
STATEN ISLAND, NY
NPI
1508004185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F335344)
Enumeration Date
2009-02-04
Last Update Date
2009-02-04
Business Address
Mrs. KATHLEEN ANN LONGO NP
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
Mrs. KATHLEEN ANN LONGO NP
25 AVENUE J
MONROE TOWNSHIP, NJ 08831-2209
Phone number: 732-521-2949
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