National Provider Identifier
Shawn Robert Long
Shawn Robert Long is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Lyons, NY and a listed phone number of (315) 946-5750.
Profile Overview
- NPI
- 1871375162
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- October 20, 2023
- Last Updated
- October 20, 2023
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 946-5750
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1871375162
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Shawn
- Middle Name
- Robert
- Mailing Street Address
- 1519 Nye RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9133
- Mailing Country
- US
- Mailing Phone
- (315) 946-5750
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5750
- Enumeration Date
- October 20, 2023
- Last Updated
- October 20, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 20, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)