| Jeffrey C. Long, Md | |
|
35 Lyon St. Naples NY 14512-0249 | |
| (585) 374-2900 | |
| (585) 374-2940 |
| Full Name | Jeffrey C. Long, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Lyon St., Naples, New York |
| Authorized Official Name and Position | Jeffrey Long (OWNER) |
| Authorized Official Contact | 5853742900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Long, Md Po Box 249 35 Lyon St. Naples NY 14512-0249 Ph: (585) 374-2900 | Jeffrey C. Long, Md 35 Lyon St. Naples NY 14512-0249 Ph: (585) 374-2900 |
| NPI Number | 1710017421 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710017421 | NPI | - | NPPES |
| 01479616 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |