| NPI | 1831034941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLIE CHRISTINE LONG Family Nurse Practitioner 607-222-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |