Teresa Longo's National Provider Identifier (NPI) Details
Teresa Longo, LMHC
NPI: 1912117094
Enumeration Date: 2007-05-23
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 434 12TH ST, WEST BABYLON, NY
Phone: 631-957-0030
Primary Practice Address: 434 12TH ST, WEST BABYLON, NY
Practice's phone: 631-957-0030