National Provider Identifier

Bruce Long, LMSW

Bruce Long, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7560.

NPI 1568638757Canandaigua, NYSocial Worker

Profile Overview

NPI
1568638757
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 07, 2008
Last Updated
May 07, 2008

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7560

Mailing Address

  • 245 Audino Ln Apt A
  • Rochester, NY 14624-5622

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1568638757
Entity Type
Individual
Last Name
Long
First Name
Bruce
Credential
LMSW
Mailing Street Address
245 Audino Ln Apt A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-5622
Mailing Country
US
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7560
Practice Fax
(585) 393-7568
Enumeration Date
May 07, 2008
Last Updated
May 07, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)