Individual
MRS. HEIDI JILL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(518) 572-2215
Mailing address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(518) 572-2215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
223912-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743295
—
NY
Enumeration date
12/27/2006
Last updated
05/05/2025
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