Individual
BIANCA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 MAIN ST APT 706, NEW YORK, NY 10044-0117
(646) 256-7947
Mailing address
540 MAIN ST APT 706, NEW YORK, NY 10044-0117
(646) 256-7947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849670
NY
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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