National Provider Identifier

Jeffrey Clarke Long, M.D.

Jeffrey Clarke Long, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Naples, NY and a listed phone number of (585) 374-2900.

NPI 1376561910Naples, NYFamily Medicine Physician

Profile Overview

NPI
1376561910
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
July 18, 2006
Last Updated
March 07, 2023

Practice Location

  • 35 Lyon St
  • Naples, NY 14512-9707

Phone: (585) 374-2900

Mailing Address

  • PO Box 249
  • 35 Lyon Street
  • Naples, NY 14512-0249

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1376561910
Entity Type
Individual
Last Name
Long
First Name
Jeffrey
Middle Name
Clarke
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
PO Box 249
Mailing Address Line 2
35 Lyon Street
Mailing City
Naples
Mailing State
NY
Mailing ZIP Code
14512-0249
Mailing Country
US
Mailing Phone
(585) 374-2900
Mailing Fax
(585) 394-2950
Practice Street Address
35 Lyon St
Practice City
Naples
Practice State
NY
Practice ZIP Code
14512-9707
Practice Country
US
Practice Phone
(585) 374-2900
Practice Fax
(585) 394-2950
Enumeration Date
July 18, 2006
Last Updated
March 07, 2023
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
01044480 (NY), 157100 (NY, Nys License), 16-1311940 (NY, Tax Id)