DR. STEPHEN LONG (NPI# 1861505174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861505174 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LONG |
| Credential | PH.D. |
| Practice Address |
79 Middleville Rd Northport NY 11768-2200 |
| Practice Telephone | 6312614400 |
| Mailing Telephone | 6312614400 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
011093 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633685 | Stephen Long | Physician Assistant | 1700 Wade Cir, Klamath Falls, OR 97601-1581 | 2006-10-15 |
| 1174586846 | Stephen N Long | Internal Medicine | 783 Doctors Ct, Roxboro, NC 27573-4575 | 2006-04-11 |
| 1073598207 | Stephen Gene Long | Physician Assistant | 4881 Sugar Maple Drive, Wpafb Medical Center, Wpafb, OH 45324 | 2005-12-09 |
| 1285261875 | Stephen Long Jr. | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2020-03-24 |
| 1780071324 | Stephen Long | Counselor | 128 N Chalkville Rd, Trussville, AL 35173-1373 | 2015-04-21 |
| 1518385079 | Stephen Long II | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2014-04-02 |
| 1710211891 | Stephen M Long | Physician Assistant | 1025 Executive Dr, Suite #100, Hixson, TN 37343-7916 | 2009-09-23 |
| 1508070723 | Stephen Michael Long | Chiropractor | 110 N Main St, Miami, OK 74354-6325 | 2007-05-09 |
| 1629117510 | Stephen E Long | Nuclear Medicine | 3231 S National Ave, Suite 130, Springfield, MO 65807-7304 | 2007-02-06 |
| 1275617334 | Stephen T Long | Counselor | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-25 |
| Street Address |
79 MIDDLEVILLE RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
| 1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
| 1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
| 1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
| 1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
| 1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
| 1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
| 1518584341 | Irene Sofia Koutsidis | Social Worker | 79 Middleville Rd, Northport, NY 11768-2296 | 2020-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1730462060 | Ben F Mcmath IIi | Psychologist | 902 Main Ave, Ste G, Northport, AL 35476-4434 | 2011-09-22 |
| 1750587531 | John L. Ochoa | Psychologist | 41 Burr Ave, Northport, NY 11768-1926 | 2007-06-26 |
| 1780725705 | Russell Keith Bomse | Psychologist | 90 Mar Kan Dr, Northport, NY 11768-1858 | 2007-02-11 |
| 1598816068 | Sally Oakes Lauve | Psychologist | 302 Scudder Ave, Northport, NY 11768-2947 | 2007-01-12 |
| 1992891543 | George M Reisine | Psychologist | 299 Main Street, Northport, NY 11768 | 2006-10-04 |
| 1023104643 | Janet Ellen Eschen | Psychologist | Northport Vamc Psychology Service (116b), 79 Middleville Road, Northport, NY 11768 | 2006-10-04 |
| 1215960927 | Davis & Davis, Clinical Psychologists, PC | Psychologist | 3610 Watermelon Rd, Suite 105, Northport, AL 35473-5170 | 2006-07-08 |
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1942600358 | Jennifer A. Sawaya | Psychologist | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-09-04 |
| Find all providers in NORTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.