Individual
GEORIE MELISSA F. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 INSTITUTE ST, JAMESTOWN, NY 14701-6628
(716) 484-4334
(716) 484-4335
Mailing address
107 INSTITUTE ST, JAMESTOWN, NY 14701-6628
(716) 484-4334
(716) 484-4335
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020834
NY
363AM0700X
Medical Physician Assistant
MA054921
PA
Other
Enumeration date
09/21/2010
Last updated
08/31/2023
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