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Icylyn Long
NPI 1861731655 · on the registry since 2013 · sole proprietor
Practice
- Address
- 14743 224th St
Springfield Gardens, NY 11413 - Phone
- (347) 612-2668
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-02-13
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