Individual
DR. DOUGLAS M DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3967
(607) 547-3259
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3967
(607) 547-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
143872
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
143872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064886
—
NY
Enumeration date
03/31/2006
Last updated
04/15/2008
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