Data Longjohn, MD
Internal Medicine · Wyandanch, NY
UnclaimedMDNPI 1215075882
- Primary taxonomy
- 207R00000X
- Enumerated
- 2007-02-03
- Practice location
- Wyandanch, NY
- Last NPPES update
- 2007-07-08
State licenses
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.