National Provider Identifier
Georie Melissa F. Long, PA-C
Georie Melissa F. Long, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Jamestown, NY and a listed phone number of (716) 484-4334.
Profile Overview
- NPI
- 1316255631
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 21, 2010
- Last Updated
- August 31, 2023
Practice Location
- 107 Institute St
- Jamestown, NY 14701-6628
Phone: (716) 484-4334
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- georie.long.1@22211.direct.athenahealth.com
Direct Messaging Address | Direct | Csv | The Chautauqua Center, Inc | Jamestown, NY 14701
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Full Record
- NPI
- 1316255631
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Georie
- Middle Name
- Melissa F.
- Credential
- PA-C
- Mailing Street Address
- 107 Institute St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6628
- Mailing Country
- US
- Mailing Phone
- (716) 484-4334
- Mailing Fax
- (716) 484-4335
- Practice Street Address
- 107 Institute St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6628
- Practice Country
- US
- Practice Phone
- (716) 484-4334
- Practice Fax
- (716) 484-4335
- Enumeration Date
- September 21, 2010
- Last Updated
- August 31, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)