National Provider Identifier
Michael Sheridan Long, MD
Michael Sheridan Long, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-7520.
Profile Overview
- NPI
- 1184410201
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 16, 2025
- Last Updated
- April 16, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-7520
Mailing Address
- 27 Boughton Ave
- Pittsford, NY 14534-2032
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1184410201
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Michael
- Middle Name
- Sheridan
- Credential
- MD
- Mailing Street Address
- 27 Boughton Ave
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-2032
- Mailing Country
- US
- Mailing Phone
- (315) 759-3530
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-7520
- Enumeration Date
- April 16, 2025
- Last Updated
- April 16, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)