Individual
DR. ABIOLA LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 987-3973
(845) 987-5979
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
049705
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
282155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282155
NY LICENSE
NY
Enumeration date
09/05/2007
Last updated
05/03/2016
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