Kelly Michelle Longo
NPI #1144792342 in Holtsville, New York
Provider Information
- NPI Number
- 1144792342
- Entity Type
- Individual
- Name
- Kelly Michelle Longo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 28, 2018
- Last Updated
- Nov 6, 2019
Practice Location
- Address
- 227 BLUE POINT RD W
- City
- Holtsville
- State
- New York
- ZIP Code
- 11742-2222
- Phone
- (516) 382-3480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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