Individual
MR. WILLIAM WESLEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 LEWIS AVE, APARTMENT 12 I, BROOKLYN, NY 11206-5933
(347) 663-4471
Mailing address
10 LEWIS AVE, APARTMENT 12 I, BROOKLYN, NY 11206-5933
(347) 663-4471
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
565963
NY
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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