KELLY MICHELLE LONGO
NPI 1144792342
Specialist in Holtsville, NY
- Individual
- Female
- Specialist
About KELLY LONGO
This page provides the complete NPI Profile along with additional information for Kelly Longo, a provider established in Holtsville, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1144792342 assigned on December 2018. The practitioner's primary taxonomy code is 174400000X with license number 2653605 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1144792342 Verify this NPI
- Provider Name
- KELLY MICHELLE LONGO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 227 BLUE POINT RD W HOLTSVILLE, NY 11742
- Location Phone
- (516) 382-3480
- Mailing Address
- 227 BLUE POINT RD W HOLTSVILLE, NY 11742
- Mailing Phone
- (516) 382-3480
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-28-2018
- Last Update Date
- 11-06-2019
- Code Navigator
Location Map
Secondary Locations
- 149 Aspen St
Floral Park, NY 11001
(516) 382-3480 - 14 Research Way
East Setauket, NY 11733
(631) 331-6400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 2653605
- License State
- NY
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144792342, enumerated as an "individual" on December 28, 2018.
The provider is located at 227 BLUE POINT RD W HOLTSVILLE, NY 11742 and the phone number is (516) 382-3480.
Specialist with taxonomy code 174400000X.
