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Individual

MS. CARLIE CHRISTINE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
161 RIVERSIDE DR STE 306, BINGHAMTON, NY 13905-4197
(607) 798-6700
Mailing address
161 RIVERSIDE DR STE 306, BINGHAMTON, NY 13905-4197
(607) 798-6700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
336909
NY
363LF0000X
Family Nurse Practitioner
Primary
F336909-1
NY

Other

Enumeration date
08/30/2011
Last updated
10/20/2016
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