Longdon, Marlene C
Longdon, Marlene C is an individual health care provider with primary practice located at 6245 Sheridan Dr , Williamsville NY 14221-4834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Longdon, Marlene C can be contacted via phone (716) 630-1205.Contact Information
Primary practice address
6245 Sheridan Dr
Williamsville NY 14221-4834
Phone: (716) 630-1205
Fax: (716) 250-5954
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F401008-1 | New York |
Profile Details
NPI number | 1912919291 |
---|---|
LBN Legal business name | Longdon, Marlene C |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Mar 17th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912919291 | NPPES |
New York | Other | 000528698001 | HEALTH NOW |
New York | Other | 9513978 | HEALTH NOW |
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