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Individual

DENISE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
62 GENESEE PARK BLVD, ROCHESTER, NY 14611-4047
(585) 698-3661
Mailing address
62 GENESEE PARK BLVD, ROCHESTER, NY 14611-4047
(585) 698-3661

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
006026
NY
133V00000X
Registered Dietitian
Primary
896072
NY

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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