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Contact Information

JEAN M LONGDEN
5 FRUITWOOD DRIVE
ANNADALE, NY13090
 Phone: 315-453-7633
 Fax: 315-637-4477
 Website:
Indicates primary specialty

NPI Profile & details for

NPI Number 1841548450
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Identifiers
NY License # 20988-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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