Organization
KIMLYN LONG MD, PLLC
Active
Other names
HELA MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINLYN LONG MD (OWNER)
(929) 279-3999
Entity
Organization
Contact information
Practice address
17561 HILLSIDE AVE, SUITE 202, JAMAICA, NY 11432-5771
(929) 279-3399
Mailing address
17561 HILLSIDE AVE STE 202, JAMAICA, NY 11432-5771
(929) 279-3399
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
202D00000X
Integrative Medicine Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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