MARLENE C LONGDON (NPI# 1912919291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912919291 |
| Entity Type | Individual |
| Full Name | MARLENE C LONGDON |
| Credential | NP |
| Practice Address |
6245 Sheridan Dr Williamsville NY 14221-4834 |
| Mailing Address |
6255 Sheridan Dr Suite 304 Williamsville NY 14221-4836 |
| Practice Telephone | 7166301205 |
| Practice Fax Number | 7162505954 |
| Mailing Telephone | 7168578666 |
| Mailing Fax Number | 7168578944 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401008-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INDEPENDENT HEALTH | 9513978 | 01 |
| NY | HEALTH NOW | 000528698001 | 01 |
| Street Address |
6245 SHERIDAN DR |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496240 | Mary Ellen Rubin | Psychologist | 6245 Sheridan Dr, Suite 218, Williamsville, NY 14221-4834 | 2005-09-01 |
| 1174979306 | Ciambella Home Care, Inc. | Home Health | 6245 Sheridan Dr, Suite 114, Williamsville, NY 14221-4834 | 2016-05-06 |
| 1316343460 | Erik Kastner | Physical Therapist | 6245 Sheridan Dr, Suite 112, Williamsville, NY 14221-4834 | 2014-11-17 |
| 1013317379 | Ryan Smith | Physical Therapist | 6245 Sheridan Dr, 112, Williamsville, NY 14221-4834 | 2014-08-23 |
| 1922423151 | Advanced Pain & Wellness Institute, LLP | Clinical Medical Laboratory | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2014-02-25 |
| 1851689178 | Jennifer D Mckeel-aranyosi | Specialist | 6245 Sheridan Dr, Ste 112, Williamsville, NY 14221-4834 | 2011-07-20 |
| 1689961054 | Rachel M. Brown | Physician Assistant | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2011-07-06 |
| 1710285200 | Robert T Detamble | Massage Therapist | 6245 Sheridan Dr, Suite116, Williamsville, NY 14221-4834 | 2011-03-07 |
| 1487963120 | Vikas K Pilly Md PC | Physical Medicine & Rehabilitation | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2010-09-29 |
| 1780852780 | Romanth Waghmarae Mb., Bch., PC | Specialist | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093007122 | Angela M Magill Np-psychiatry Pllc | Nurse Practitioner | 5820 Main St Ste 308, Williamsville, NY 14221-5734 | 2011-05-09 |
| 1184935264 | Angela Marie Magill | Nurse Practitioner | 5820 Main St Ste 500, Williamsville, NY 14221-5734 | 2010-06-23 |
| 1598790255 | Patricia A Nisbet | Nurse Practitioner | 21 Linwood Ave, Williamsville, NY 14221-6501 | 2006-07-11 |
| 1710587944 | Krystal Marie Osinski | Nurse Practitioner | 5904 Sheridan Dr, Williamsville, NY 14221-5873 | 2020-10-27 |
| 1831723881 | Petra Laura Guilmain | Nurse Practitioner | 5904 Sheridan Dr, Williamsville, NY 14221-5873 | 2020-02-28 |
| 1164056305 | Brenna Fox Pmhnp-bc, LLC | Nurse Practitioner | 21 Linwood Ave, Williamsville, NY 14221-6501 | 2020-02-26 |
| 1083259741 | Jasmine Aleesha Solomon | Nurse Practitioner | 5904 Sheridan Dr, Williamsville, NY 14221-5873 | 2019-11-16 |
| 1043727639 | Serenity Care Np In Psychiatry PC | Nurse Practitioner | 21 Linwood Ave, Williamsville, NY 14221-6501 | 2018-01-04 |
| 1548710668 | Sandra Leinweber Nurse Practitioner, Psychiatry | Nurse Practitioner | 5820 Main St, Suite 204, Williamsville, NY 14221-5776 | 2016-10-12 |
| 1710307251 | Faye E Taber Nurse Practitioner In Psychiatry Pllc | Nurse Practitioner | 5820 Main St, Ste 500, Williamsville, NY 14221-5776 | 2014-04-23 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on MARLENE C LONGDON.
| 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.