Individual
CHRISTINE MARIE LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 38TH ST, BROOKLYN, NY 11219
(718) 633-6666
Mailing address
242 WARDWELL AVE, STATEN ISLAND, NY 10314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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