Long, Heather

Long, Heather is an individual health care provider with primary practice located at 315 S Manning Blvd @ St. Peter'S Hospital Er Dept., Albany NY 12208-1707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Long, Heather can be contacted via phone (518) 383-5450.

Contact Information

Primary practice address
315 S Manning Blvd @ St. Peter'S Hospital Er Dept. Albany NY 12208-1707
Phone: (518) 383-5450
Fax: (518) 328-3422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 213463-1 New York
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 213463-1 New York

Profile Details

NPI number 1275549180
LBN Legal business name Long, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275549180 NPPES
New York MEDICAID 02433489

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