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Contact Information

KIMLYN LONG MD, PLLC
17561 HILLSIDE AVE
SUITE 202
JAMAICA, NY11432-5771
 Phone: 929-279-3399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Health & Wellness Coach

171400000X
 

Integrative Medicine

202D00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KIMLYN LONG MD PLLC · (Female)

NPI # 1730911256
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2024
Last updated 08/14/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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