Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MICHELLE LONGO
Active Sole ProprietorKELLY MICHELLE LONGO is a Specialist healthcare provider located in HOLTSVILLE, New York. NPI 1144792342 is currently active in the NPPES registry. Verify at CMS.
Specialist · HOLTSVILLE, NY
Registration Details
- NPI Number
- 1144792342
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2018 (7.4450584497128 yrs)
- Last Updated
- Nov 6, 2019
- License
-
2653605 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
227 BLUE POINT RD WHOLTSVILLE, NY, 117422222Browse NY providers · Browse ZIP 11742
- Phone
- 5163823480
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in HOLTSVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| JOSEPH H LAUDADIO | M.S. SPED | 1952448508 |
| MRS. ANDREA HIMBELE | OTR | 1255475679 |
| PAUL K.J. PALLADINO | LMT | 1881871218 |
| MRS. DESIREE M BOUCHER | — | 1194082198 |
| STEPHANIE A VENTURA | LMT | 1407116817 |
| LISA MOORE | MS ED | 1891056966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.