Long, Wallace J
Long, Wallace J is an sole proprietor health care provider with primary practice located at 11 W Main St , Lancaster NY 14086-2100. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Long, Wallace J can be contacted via phone (716) 681-4957.Contact Information
Primary practice address
11 W Main St
Lancaster NY 14086-2100
Phone: (716) 681-4957
Fax: (716) 681-4959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 21194 | New York |
Profile Details
| NPI number | 1518286848 |
|---|---|
| LBN Legal business name | Long, Wallace J |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2010 |
| Last updated | May 26th, 2010 - 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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