National Provider Identifier

Jeremy Long, DPT

Jeremy Long, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Salamanca, NY and a listed phone number of (716) 945-2484.

NPI 1568839140Salamanca, NYPhysical Therapist

Profile Overview

NPI
1568839140
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 30, 2015
Last Updated
August 30, 2015

Practice Location

  • 4039 Route 219
  • Salamanca, NY 14779-9625

Phone: (716) 945-2484

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1568839140
Entity Type
Individual
Last Name
Long
First Name
Jeremy
Name Prefix
Dr.
Credential
DPT
Mailing Street Address
4039 Route 219
Mailing City
Salamanca
Mailing State
NY
Mailing ZIP Code
14779-9625
Mailing Country
US
Mailing Phone
(716) 945-2484
Mailing Fax
(716) 945-2487
Practice Street Address
4039 Route 219
Practice City
Salamanca
Practice State
NY
Practice ZIP Code
14779-9625
Practice Country
US
Practice Phone
(716) 945-2484
Practice Fax
(716) 945-2487
Enumeration Date
August 30, 2015
Last Updated
August 30, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)