Individual
MS. VIRGINIA ANNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 BRONX BLVD, BRONX, NY 10470-1407
(718) 304-7000
(718) 304-7065
Mailing address
4401 BRONX BLVD, BRONX, NY 10470-1407
(718) 304-7000
(718) 304-7065
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
348519
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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