Individual
ANDREA LONGCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450
(585) 377-4660
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702420
NY
163WP0200X
Pediatric Registered Nurse
702420
NY
163WS0200X
School Registered Nurse
Primary
702420
NY
Other
Enumeration date
04/07/2016
Last updated
08/23/2023
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