Healthcare Provider Details

I. General information

NPI: 1437778610
Provider Name (Legal Business Name): DARYA FISCHBACH LONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 07/11/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 WASHINGTON RD
MC MURRAY PA
15317-3279
US

IV. Provider business mailing address

3055 WASHINGTON RD
MC MURRAY PA
15317-3279
US

V. Phone/Fax

Practice location:
  • Phone: 724-260-0550
  • Fax:
Mailing address:
  • Phone: 724-260-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD490884
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: