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Organization

LONG WELLNESS MEDICAL PLLC

Active
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Organization

LONG WELLNESS MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANN LONG MD (PHYSICIAN IN CHARGE)
(516) 441-5880
Entity
Organization

Contact information

Practice address
1 BOND ST, GREAT NECK, NY 11021-2408
(516) 441-5880
(516) 441-5882
Mailing address
1 BOND ST, GREAT NECK, NY 11021-2408
(516) 441-5880
(516) 441-5882

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
207N00000X
Dermatology Physician
207R00000X
Internal Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
07/17/2024
Last updated
07/22/2024
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