MR. Michael Anthony Longo, RPA-C
NPI #1114228210 in Stony Brook, New York
Provider Information
- NPI Number
- 1114228210
- Entity Type
- Individual
- Name
- MR. Michael Anthony Longo, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- RPA-C
- Enumeration Date
- Nov 6, 2010
- Last Updated
- May 16, 2018
Practice Location
- Address
- HSC T12 RM 080
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794
- Phone
- (631) 444-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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