Individual
ABIGAIL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3967 ROSE RD, BATAVIA, NY 14020-9544
(585) 813-3308
Mailing address
3967 ROSE RD, BATAVIA, NY 14020-9544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3558484
NY
235Z00000X
Speech-Language Pathologist
Primary
025867
NY
Other
Enumeration date
07/07/2013
Last updated
12/14/2016
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