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NPI Code Detail

MEDICARE: DR. SHARON LONG DNP, FNP

MEDICARE: DR. SHARON LONG DNP, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerF347819-01NY

General Provider Information

NPI Number : 1467159269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON LONG DNP, FNP
Provider Business Mailing Address
First Line : 320 W 38TH ST APT 532
Second Line :
City : NEW YORK
State : NY
Zip : 10018-5271
Country : US
Telephone Number : 571-265-9204
Fax Number :
Provider Business Practice Location Address
First Line : 3808 UNION ST STE 5A
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5671
Country : US
Telephone Number : 718-888-7907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 04/03/2023

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