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Individual
MR. MICHAEL ANTHONY LONGO
Active
Individual
MR. MICHAEL ANTHONY LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014029
NY
Other
Enumeration date
11/06/2010
Last updated
05/16/2018
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