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Organization
KIMLYN LONG MD, PLLC
Active
Organization
KIMLYN LONG MD, PLLC
Active
Other names
HELA MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINLYN LONG MD (OWNER)
(929) 279-3999
Entity
Organization
Contact information
Practice address
17561 HILLSIDE AVE, SUITE 202, JAMAICA, NY 11432-5771
(929) 279-3399
Mailing address
17561 HILLSIDE AVE STE 202, JAMAICA, NY 11432-5771
(929) 279-3399
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
202D00000X
Integrative Medicine Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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