Individual
GLENDA M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
M.S. 45, 2502 LORILLARD PLACE, BRONX, NY 10458
(718) 584-2936
Mailing address
8 FAYVA CT, NEW CITY, NY 10956-7171
(718) 584-2936
(718) 584-1586
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333672
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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