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NPI Code Detail

MEDICARE: CATHERINE JOAN LONGOBARDI

MEDICARE: CATHERINE JOAN LONGOBARDI
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
1103TS0200XSchool Psychologist2715693NY

General Provider Information

NPI Number : 1639991896
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JOAN LONGOBARDI
Provider Business Mailing Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number : 631-266-4416
Fax Number :
Provider Business Practice Location Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number : 631-266-4416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2024
Last Update Date : 03/13/2026

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Directions to “ CATHERINE JOAN LONGOBARDI ” Practice Location

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