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Individual

DANIEL C LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
103 HURLEY AVENUE, KINGSTON, NY 12401
(845) 339-4191
(845) 339-3309
Mailing address
103 HURLEY AVENUE, KINGSTON, NY 12401
(845) 339-4191
(845) 339-3309

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005562
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02186703
NY
Enumeration date
03/06/2006
Last updated
01/10/2022
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