Individual provider · Type 1 NPI
Gena Marie Long, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Buffalo, NY
NPI number
1083303846
Active
Practice location
62 Wiley Pl
Buffalo, NY 14207-1644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F404718-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083303846
Gena Marie Long, PMHNP's National Provider Identifier is 1083303846, issued on May 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Buffalo, NY. The record was last updated on May 5, 2023.