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Individual

MRS. ELIZABETH DELONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
180 SYLVAN AVE STE 4, ENGLEWOOD, NJ 07632-2519
(718) 650-6230
Mailing address
6826 76TH ST APT 2, MIDDLE VILLAGE, NY 11379-2873
(347) 551-2312

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046678
NY

Other

Enumeration date
12/25/2020
Last updated
12/25/2020
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