Individual
STEPHEN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 W JERICHO TPKE STE 203E, SMITHTOWN, NY 11787-3220
(631) 609-5645
Mailing address
470 MEADOW RD, KINGS PARK, NY 11754-5006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007091
NY
Other
Enumeration date
02/24/2022
Last updated
03/23/2026
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