Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTOINETTE RAE LONG
ActiveANTOINETTE RAE LONG is a Community Health Worker healthcare provider located in LACKAWANNA, New York. NPI 1609381649 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LACKAWANNA, NY
Registration Details
- NPI Number
- 1609381649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2017 (8.6717415207808 yrs)
- Last Updated
- Dec 13, 2017
Practice Information
- Address
-
790 RIDGE RDLACKAWANNA, NY, 142181629Browse NY providers · Browse ZIP 14218
- Phone
- 7168289699
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in LACKAWANNA, NY
| Name | Credential | NPI |
|---|---|---|
| SHARON CAVANAUGH | — | 1750895066 |
| JENNIFER A KELLEY | — | 1093220733 |
| SARAH LINSLER | — | 1528541687 |
| TARYN WILDE | — | 1790269652 |
| BRYAN BUCHANAN | — | 1740764695 |
| MARIUM ASHRAF | — | 1346724291 |
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.