Individual
MITCHELL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1720
(716) 906-2600
Mailing address
3712 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1720
(716) 906-2600
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008937
NY
Other
Enumeration date
01/15/2025
Last updated
01/22/2025
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