Individual
CYNTHIA LONGJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 ROUTE 112 STE 11, MEDFORD, NY 11763-2535
(631) 732-5222
(631) 732-6222
Mailing address
2799 ROUTE 112 STE 11, MEDFORD, NY 11763-2535
(631) 732-5222
(631) 732-6222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
310312
NY
Other
Enumeration date
04/16/2018
Last updated
10/06/2021
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