National Provider Identifier
Gena Marie Long, PMHNP
Gena Marie Long, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 238-1621.
Profile Overview
- NPI
- 1083303846
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- May 05, 2023
- Last Updated
- May 05, 2023
Practice Location
- 62 Wiley Pl
- Buffalo, NY 14207-1644
Phone: (716) 238-1621
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1083303846
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Gena
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- PMHNP
- Mailing Street Address
- 62 Wiley Pl
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1644
- Mailing Country
- US
- Mailing Phone
- (716) 238-1621
- Practice Street Address
- 62 Wiley Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1644
- Practice Country
- US
- Practice Phone
- (716) 238-1621
- Enumeration Date
- May 05, 2023
- Last Updated
- May 05, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)