Individual
AMIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
85 E NEWTON STREET, DR. SOLOMON CARTER FULLER MENTAL HEALTH CENTER, BOSTON, MA 02118
(617) 626-9200
Mailing address
4 GREENDALE AVE, NEEDHAM, MA 02494-2127
(802) 779-4038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2282879
MA
Other
Enumeration date
07/22/2014
Last updated
11/18/2021
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