Individual
BETTY GRACE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 E 33RD ST FL 5, NEW YORK, NY 10016-5337
(212) 366-4459
Mailing address
55 OCEAN AVE APT E5, BROOKLYN, NY 11225-3618
(303) 913-6674
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311013
NY
Other
Enumeration date
10/25/2022
Last updated
02/12/2026
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