Individual
EMILY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1454 S COUNTY TRL, E GREENWICH, RI 02818-1749
(401) 649-4020
(401) 649-4021
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L.5441
AL
207Q00000X
Family Medicine Physician
Primary
MD19963
RI
208600000X
Surgery Physician
R-11521
IA
Other
Enumeration date
05/22/2019
Last updated
03/06/2026
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