Individual
DANIELLE R LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4210
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20061170
NY
Other
Enumeration date
03/24/2016
Last updated
11/08/2024
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