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Individual

DR. JENNIFER L LONGOBARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
99 FIELDSTONE DR, HARTSDALE, NY 10530-1564
(914) 428-2120
(914) 428-1989
Mailing address
99 FIELDSTONE DR, HARTSDALE, NY 10530-1564
(914) 428-2120
(914) 428-1989

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
187917
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01558901
NY
01
1011341
AETNA HMO
NY
01
132525705
UNITED
NY
01
132625405
POMCO
NM
01
132625705
EMPIRE PLAN
NY
01
14731
HEALTH SOURCE
NY
01
15J401
EMPIRE BCBS
NY
01
1C7499
HEALTH NET
NY
01
4512872
AETNA PPO
NY
01
750692004
CIGNA
NY
01
NP879
OXFORD
NY
Enumeration date
10/19/2006
Last updated
07/08/2007
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