Individual
LONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 EASTON ST, RONKONKOMA, NY 11779-6104
(631) 949-1175
(631) 981-7899
Mailing address
416 EASTON ST, RONKONKOMA, NY 11779-6104
(631) 949-1175
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007641-01
NY
Other
Enumeration date
12/02/2024
Last updated
03/13/2025
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