KELLY MICHELLE LONGO
NPI 1144792342
Specialist in Holtsville, NY

Active since December 28, 2018
227 BLUE POINT RD W, HOLTSVILLE, NY 11742(516) 382-3480 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2019, Dec 28, 2018 (2 updates tracked since 2018).

About Kelly Michelle Longo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MICHELLE LONGO (NPI 1144792342) is an individual specialist in Holtsville, New York, licensed in New York (2653605) and active in the NPI registry since December 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144792342
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY MICHELLE LONGO
Location Address227 BLUE POINT RD WHoltsville, NY 11742-2222
Mailing Address227 Blue Point Rd WHoltsville, NY 11742-2222 · (516) 382-3480
Sole ProprietorYes
Enumeration DateDecember 28, 2018
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
NPI 1144792342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 2653605
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.
227 BLUE POINT RD W, Holtsville, NY 11742

Secondary Practice Locations 2

Location 1149 Aspen StFloral Park, NY 11001-3429 · Phone (516) 382-3480
Location 214 Research WayEast Setauket, NY 11733-3453 · Phone (631) 331-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Longo's NPI number?

The NPI number for Kelly Longo is 1144792342. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Kelly Longo located?

Kelly Longo practices at 227 Blue Point Rd W, Holtsville, NY 11742. The listed phone number is (516) 382-3480.

What is Kelly Longo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Longo was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.