Individual
DR. WILLIAM JOHN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.R.C.S.C.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2030
(646) 797-8667
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
002905
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
258112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676103800
—
MN
Enumeration date
02/06/2006
Last updated
04/22/2021
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