Individual
JENNIFER E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4600 MAIN ST, SUITE 201, AMHERST, NY 14226-4500
(716) 833-4488
(716) 839-1218
Mailing address
4600 MAIN ST, SUITE 201, AMHERST, NY 14226-4500
(716) 833-4488
(716) 839-1218
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001800-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001176701
UNIVERA
NY
01
—
000576119001
BC/BS AUDIOLOGIST-HARLEM
NY
01
—
000576119003
BC/BS AUDIOLOGIST-OP
NY
01
—
000580000003
BC/BS HEARING AID-HARLEM
NY
01
—
000580000005
BC/BS HEARING AID-OP
NY
01
—
9200301
IHA
NY
Enumeration date
09/25/2006
Last updated
09/21/2010
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