Individual
DR. WENDY S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 PARK AVE, SUITE 1A, NEW YORK, NY 10016-2507
(212) 689-9587
(212) 689-8519
Mailing address
71 PARK AVE, SUITE 1A, NEW YORK, NY 10016-2507
(212) 689-9587
(212) 689-8519
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
224302
MA
207N00000X
Dermatology Physician
Primary
238317-1
NY
207ND0101X
MOHS-Micrographic Surgery Physician
238317-1
NY
207NS0135X
Procedural Dermatology Physician
238317-1
NY
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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