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Individual

DR. MEREDITH LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
807 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 822-0622
(516) 342-2480
Mailing address
52 VOORHIS AVE, ROCKVILLE CENTRE, NY 11570-2744
(516) 822-0622
(516) 342-2480

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
154136
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154136
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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