Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antoinette Rae Long

Individual provider Community Health Worker · NPI 1609381649

Antoinette Rae Long is a Community Health Worker in Lackawanna, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

790 Ridge Rd
Lackawanna, NY 14218-1629
Phone: (716) 828-9699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1609381649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESDecember 13, 2017
Mailing address790 Ridge Rd, Lackawanna, NY 14218-1629

Other providers in Lackawanna