Individual
COREY MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 HYDE ST, CEP - EMERGENCY DEPARTMENT, SAN FRANCISCO, CA 94109-4806
(415) 353-6300
Mailing address
900 HYDE ST, CEP - EMERGENCY DEPARTMENT, SAN FRANCISCO, CA 94109-4806
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
246506
NY
207P00000X
Emergency Medicine Physician
Primary
A109270
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2007
Last updated
05/29/2016
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