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Wanda Long

NPI 1881166106 · on the registry since 2018

Practice

Address
2071 Flatbush Ave # 83
Brooklyn, NY 11234
Phone
(347) 600-0460

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
2018-12-27

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