MEDICARE: MS. LAUNA NIA LONGCHAMP RN

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	933921-01	NY

General Provider Information

NPI Number	:	1770430761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUNA NIA LONGCHAMP RN

Provider Business Mailing Address
First Line	:	27 MORRIS DR
Second Line	:
City	:	DEER PARK
State	:	NY
Zip	:	11729-1820
Country	:	US
Telephone Number	:	631-644-3818
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 VAN WYCK EXPY
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2897
Country	:	US
Telephone Number	:	718-206-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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