Data Longjohn, MD

NPI #1215075882 in Wyandanch, New York

Provider Information

NPI Number: 1215075882
Entity Type: Individual
Name: Data Longjohn, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1537 STRAIGHT PATH
Address 2: STE102
City: Wyandanch
State: New York
ZIP Code: 11798-3414
Phone: (631) 253-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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