MRS. Marianne Marie Longo
NPI #1104210301 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1104210301
- Entity Type
- Individual
- Name
- MRS. Marianne Marie Longo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 25, 2015
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 1200 E RIDGEWOOD AVE
- Address 2
- 2ND FLOOR
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3957
- Phone
- (201) 670-8660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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