Individual
ADAM J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CES, PES
Contact information
Practice address
310 TAUGHANNOCK BLVD STE 5A, ITHACA, NY 14850-3251
(607) 252-3580
(607) 252-3971
Mailing address
310 TAUGHANNOCK BLVD STE 5A, ITHACA, NY 14850-3251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001751
NY
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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