Individual
CHARLOTTE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8815 182ND ST, JAMAICA, NY 11423-1733
(718) 297-9821
(718) 658-5288
Mailing address
8815 182ND ST, JAMAICA, NY 11423-1733
(718) 297-9821
(718) 658-5288
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22 493249
NY
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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