Individual
ALEXIS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 HILLIARD ST, MANCHESTER, CT 06042-3001
(860) 646-3903
Mailing address
11 GUILFORD ST, WINDSOR LOCKS, CT 06096-2017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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