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Data Longjohn, MD
NPI 1215075882 · on the registry since 2007
Practice
- Address
- 1537 Straight Path
Ste102
Wyandanch, NY 11798 - Phone
- (631) 253-0270
- Fax
- (631) 253-0273
- Organisation at this address
- Purti Drugs Corp
Sms1 Pharmacy Corp
Skope Medical Care P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York