Individual
DR. NICOLE C. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
320 CENTRAL CITY PLZ, NEW KENSINGTON, PA 15068-6441
(724) 335-5721
(724) 335-5778
Mailing address
320 CENTRAL CITY PLZ, NEW KENSINGTON, PA 15068-6441
(724) 335-5721
(724) 335-5778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002241
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025773000001
—
PA
Enumeration date
07/15/2009
Last updated
12/19/2013
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