Joyce Longo

NPI #1164770525 in Port Jefferson, New York

Provider Information

NPI Number: 1164770525
Entity Type: Individual
Name: Joyce Longo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 12 ELM CT
City: Port Jefferson
State: New York
ZIP Code: 11777-1926
Phone: (631) 466-1369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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