Individual
AMBER MICHELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WATKINS PL, NEW ROCHELLE, NY 10801-3105
(914) 355-6814
Mailing address
1 WATKINS PL, NEW ROCHELLE, NY 10801-3105
(914) 355-6814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
348749827
—
104100000X
Social Worker
5423431
NY
104100000X
Social Worker
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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