KIMLYN LONG MD, PLLC; NPI #1730911256

Contact Information

KIMLYN LONG MD, PLLC

17561 HILLSIDE AVE
SUITE 202
JAMAICA, NY 11432-5771

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

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NPI Profile & details for KIMLYN LONG MD, PLLC

NPI Number	`1730911256`
LBN Legal business name	KIMLYN LONG MD, PLLC
Authorized official	KINLYN LONG - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/14/2024
Last updated	08/14/2024 - More than a year ago
Identifiers	n/a

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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KIMLYN LONG MD, PLLC

Contact Information

Specialty

Plastic and Reconstructive Surgery

Health & Wellness Coach

Integrative Medicine

Physician Assistant

Plastic Surgery

NPI Profile & details for KIMLYN LONG MD, PLLC

Reviews for KIMLYN LONG MD, PLLC