Individual
MITCHELL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 EILEEN WAY, SYOSSET, NY 11791-5323
(855) 321-6784
Mailing address
51 BEDFORD AVE, WESTBURY, NY 11590-4301
(714) 267-9525
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
322584
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
02/24/2026
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