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Kelly Michelle Longo
Specialist in Holtsville, New York
NPI 1144792342

Kelly Michelle Longo is a Specialist based in Holtsville, NY. Kelly Michelle Longo practices in Holtsville, NY. The NPI Number for Kelly Michelle Longo is 1144792342 and holds a License No. 2653605 (New York).

The current practice location address for Kelly Michelle Longo is 227 Blue Point Rd W, Holtsville, NY and can be reached out via phone at 516-382-3480.

Location: 227 Blue Point Rd W, Holtsville, NY, 11742-2222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144792342
Provider Name
Kelly Michelle Longo
Credential
Provider Entity Type
Individual
Gender
Female
Address
227 Blue Point Rd W, Holtsville, NY, 11742-2222
Phone Number
516-382-3480
Fax Number
Provider Enumeration Date
12/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
227 Blue Point Rd W
City
Holtsville
State
New York
Zip
11742-2222
Phone Number
516-382-3480
Fax Number
person
Provider Business Mailing Address Details
Address
227 Blue Point Rd W
City
Holtsville
State
New York
Zip
11742-2222
Phone Number
516-382-3480
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2653605 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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