Individual
MS. MELISSA LAYNE LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5916 174TH ST, FRESH MEADOWS, FRESH MEADOWS, NY 11365-1539
(718) 670-2731
Mailing address
160 E 48TH ST, APT 9P, NEW YORK, NY 10017-1225
(212) 980-3808
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010452
NY
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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