Individual
DR. LAUREEN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7127 FRESH POND RD, SUITE 1L, RIDGEWOOD, NY 11385-5918
(718) 386-3172
(718) 386-3172
Mailing address
7127 FRESH POND RD, SUITE 1L, RIDGEWOOD, NY 11385-5918
(718) 386-3172
(718) 386-3172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5239695
AETNA
NY
01
—
60105
PRISM HEALTH NETWORKS
NY
01
—
9631018
GHI
NY
01
—
C08618-3B
STATE INS. FUND WORK COMP
NY
01
—
P1110862
OXFORD HEALTH PLAN
NY
01
—
X008618
LICENSE NUMBER
NY
01
—
X92182
EMPIRE BLUE CROSS
NY
Enumeration date
12/16/2006
Last updated
07/09/2007
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