Individual
BRIA MICHELE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 BATHGATE AVE, BRONX, NY 10457-4404
(718) 468-9000
Mailing address
13 CANAL RUN E, WASHINGTON XING, PA 18977-1107
(267) 907-2892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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