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Individual

DR. ZACHARY THOMAS LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
139 VLY RD, ALBANY, NY 12205-2212
(518) 608-4271
(518) 608-4269
Mailing address
12 MARYLAND AVE, ALBANY, NY 12205-4511
(518) 461-8265

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
024061
NY

Other

Enumeration date
01/03/2021
Last updated
01/03/2021
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