Data Longjohn, MD
Data Longjohn, MD is an Internal Medicine in Wyandanch, New York. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 41
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1537 Straight Path STE102Wyandanch, NY 11798-3414
Phone: (631) 253-0270
Fax: (631) 253-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 211159 (NY) |
|---|
Record details
| NPI number | 1215075882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1537 Straight Path, Ste102, Wyandanch, NY 11798-3414 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1985 (41 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Wyandanch
-
Dinesh Sethi Physician PC
1521 Straight Path, Wyandanch, NY 11798-3414 · (631) 643-3800
-
Arthur Calica Liclican, MD
1556 Straight Path, Wyandanch, NY 11798 · (631) 854-1700
-
Dinesh Sethi, MD
1521 Straight Path, Wyandanch, NY 11798-3414 · (631) 643-3800
-
Skope Medical Care PC
1537 Straight Path Ste 102, Wyandanch, NY 11798-3414 · (631) 253-0270