Individual
ANN Y LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
139 CENTER STREET, SUITE 310, NEW YORK, NY 10013
(212) 966-8431
Mailing address
139 CENTER STREET, SUITE 310, NEW YORK, NY 10013
(212) 966-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02055714
—
NY
Enumeration date
02/07/2007
Last updated
11/10/2011
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