Individual
DESIREE L. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
(315) 552-6701
Mailing address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
(315) 552-6701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014364
NY
Other
Enumeration date
11/05/2010
Last updated
03/05/2013
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