Samuel Long, LISW

NPI 1821587395 · on the registry since 2018 · sole proprietor

Practice

Address: 5350 Lamme Rd
Moraine, OH 45439
Phone: (937) 534-4627
Organisation at this address: Alliance Physicians Inc
C. Todd Anderson, Md, Llc
Family Practice Associates Of Dayton Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-03-02

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 Ohio