National Provider Identifier
Matthew David Long, PA-C
Matthew David Long, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1891523544
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 24, 2024
- Last Updated
- July 26, 2024
Practice Location
- 111 N Maplemere RD Ste 100
- Williamsville, NY 14221-3182
Phone: (716) 204-3200
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891523544
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Matthew
- Middle Name
- David
- Credential
- PA-C
- Mailing Street Address
- 111 N Maplemere RD Ste 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3182
- Mailing Country
- US
- Mailing Phone
- (716) 204-3200
- Practice Street Address
- 111 N Maplemere RD Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3182
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Enumeration Date
- July 24, 2024
- Last Updated
- July 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)