Longo, Jason

Longo, Jason is an individual health care provider with primary practice located at 64 Division Ave Suite 200, Levittown NY 11756-2999. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Longo, Jason can be contacted via phone (516) 796-6588.

Contact Information

Primary practice address
64 Division Ave Suite 200 Levittown NY 11756-2999
Phone: (516) 796-6588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 056212 New York

Profile Details

NPI number 1801186432
LBN Legal business name Longo, Jason
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2011
Last updated Oct 18th, 2019 - about 7 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 1801186432 NPPES
New York MEDICAID 04304207

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