MS. Judith Anne Long

NPI #1295099711 in Jamestown, New York

Provider Information

NPI Number
1295099711
Entity Type
Individual
Name
MS. Judith Anne Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jun 28, 2012
Last Updated
Jun 28, 2012

Practice Location

Address
25 BLANCHARD ST
ZIP Code
14701-3451
Phone
(716) 450-9020

Specialties & Taxonomy Codes

Specialty
Specialist

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