| Doctor Name: | MS. ELIZABETH G LONG |
| NPI Number: | 1174742183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | F33267601 |
| Business Practice Address: | 6845 State Route 434 Apalachin, NY - 137323503 |
| Business Phone Number: | 6076252466 |
| Business Fax Number: | |
| Mailing Address: | 26 Pembroke Dr, ENDICOTT |
| State: | NY |
| Postal Code: | 137604208 |
| Phone Number: | 6077540676 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F33267601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |