Shelly Long's National Provider Identifier (NPI) Details
Shelly Long, LCSW-R
NPI: 1386833275
Enumeration Date: 2007-10-17
Last updated: 2014-12-23
Sole Proprietor: NO
Status: active
Postal Address: 1019 E WATER ST, ELMIRA, NY
Phone: 607-733-5696
Primary Practice Address: 77 E. 1ST STREET, CORNING, NY
Practice's phone: 607-936-1771