Individual
CHRISTINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
500 CORPORATE PKWY, STE100, AMHERST, NY 14226-1263
(716) 631-0830
(716) 631-3229
Mailing address
4694 PERRY CT, LEWISTON, NY 14092-1196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007029-01
NY
Other
Enumeration date
10/25/2006
Last updated
08/26/2009
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