Individual
MRS. LYNNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
600 NORTHERN BLVD, ALBANY, NY 12204-1004
(518) 447-3500
Mailing address
14 SURFWOOD DR, ALBANY, NY 12205-1721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002503-1
NY
Other
Enumeration date
03/26/2007
Last updated
05/20/2021
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