MRS. Debra Sue Longbine, RPA C

NPI #1679562664 in Derby, New York

Provider Information

NPI Number: 1679562664
Entity Type: Individual
Name: MRS. Debra Sue Longbine, RPA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA C
Enumeration Date: Oct 21, 2005
Last Updated: Apr 7, 2017

Practice Location

Address: 6970 ERIE RD
City: Derby
State: New York
ZIP Code: 14047-9591
Phone: (716) 947-9147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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