Individual
MS. ELIZABETH G LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
6845 STATE ROUTE 434, APALACHIN, NY 13732-3503
(607) 625-2466
Mailing address
26 PEMBROKE DR, ENDICOTT, NY 13760-4208
(607) 754-0676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F33267601
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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