Individual
KEVIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7559 263RD ST # K218, GLEN OAKS, NY 11004-1100
(718) 470-8005
Mailing address
7559 263RD ST # K218, GLEN OAKS, NY 11004-1150
(718) 470-8005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
324862
NY
Other
Enumeration date
04/12/2021
Last updated
06/26/2025
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