Individual provider · Type 1 NPI

Kelly Michelle Longo

Specialist · Holtsville, NY

NPI number 1144792342 Active

Practice location

227 Blue Point Rd W
Holtsville, NY 11742-2222

Call (516) 382-3480 Map

Other practice locations

  • 149 Aspen St, Floral Park, NY 11001-3429 · (516) 382-3480
  • 14 Research Way, East Setauket, NY 11733-3453 · (631) 331-6400

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2653605 (NY)

Specialist: 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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About NPI 1144792342

Kelly Michelle Longo's National Provider Identifier is 1144792342, issued on Dec 28, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Holtsville, NY. The record was last updated on Nov 6, 2019.