Individual
DR. ANTHONY J LONGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-5183
Mailing address
19 NOBLE ST, LYNBROOK, NY 11563-2238
(516) 887-4998
(516) 887-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041687
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
041687
NY
Other
Enumeration date
03/15/2010
Last updated
09/11/2012
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