CHARLES R. LONGO

FAYETTEVILLE, NY
NPI1811017890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  036051)
Enumeration Date2007-03-31
Last Update Date2014-10-21
Business Address
-- CHARLES R. LONGO DDS
514 TOWNE DR
FAYETTEVILLE, NY 13066-1331
Phone number: 315-637-1235
Mailing Address
-- CHARLES R. LONGO DDS
514 TOWNE DR
FAYETTEVILLE, NY 13066-1331
Phone number: 315-637-1235
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