Individual
DR. NANCY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
140 CHARLES ST, 10A, NEW YORK, NY 10014-6519
(212) 463-7075
Mailing address
140 CHARLES ST., 10A, NEW YORK, NY 10014
(212) 463-7075
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
014083-1
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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