Data G Longjohn


Address: 1537 Straight Path, Suite 102, Wyandanch, NY 11798-3431

Data G Longjohn (NPI# 1215075882, PAC ID# 4082503479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1215075882
PAC ID by PECOS 4082503479
Professional Enrollment ID I20040312001315
Full Name Data G Longjohn
Address 1537 Straight Path
Suite 102
Wyandanch
NY 11798-3431
Gender F
Credential MD
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1537 Straight Path, Suite 102, Wyandanch, NY 11798-3431

Organization Information

Office Location

Street Address 1537 STRAIGHT PATH
SUITE 102
City WYANDANCH
State NY
Zip 11798-3431

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Kerri S Greene Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Colleen Jeffus Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Erin L Drinkwater Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Jacqueline Murphy Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Stephanie R Mewhinney Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Kristy L Lanza Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Mira F Staco Nurse Practitioner Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
Liana K Sventoraitis Clinical Social Worker Federation of Organizations for The Ny State Mentally Disabled, Inc 240 A Long Island Ave, Wyandanch, NY 11798-3123
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Competitor

Search similar physicians

City WYANDANCH
Zip Code 11798
Specialty INTERNAL MEDICINE
City + Specialty WYANDANCH + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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