National Provider Identifier
Judith Anne Long
Judith Anne Long is listed in the NPPES registry with a primary specialty of Specialist in Jamestown, NY and a listed phone number of (716) 450-9020.
Profile Overview
- NPI
- 1295099711
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 28, 2012
- Last Updated
- June 28, 2012
Practice Location
- 25 Blanchard St
- Jamestown, NY 14701-3451
Phone: (716) 450-9020
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1295099711
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Judith
- Middle Name
- Anne
- Name Prefix
- MS.
- Mailing Street Address
- 25 Blanchard St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-3451
- Mailing Country
- US
- Mailing Phone
- (716) 664-7114
- Practice Street Address
- 25 Blanchard St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-3451
- Practice Country
- US
- Practice Phone
- (716) 450-9020
- Enumeration Date
- June 28, 2012
- Last Updated
- June 28, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)