KIMLYN LONG MD PLLC NPI 1730911256

NPI Information

  • NPI: 1730911256
  • Provider Name: KIMLYN LONG MD, PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 17561 HILLSIDE AVE
    SUITE 202
    JAMAICA, NY
    ZIP 11432
  • Phone: (929) 279-3399

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NPI Details

KIMLYN LONG MD, PLLC is a plastic and reconstructive surgery surgery in Jamaica, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. KIMLYN LONG MD, PLLC NPI is 1730911256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17561 HILLSIDE AVE
SUITE 202
JAMAICA, NY
ZIP 11432-771
Phone: (929) 279-3399

The provider's authorized official is Kinlyn Long .
The authorized official title is Owner and has the following contact phone number (929) 279-3999.

The enumeration date for this NPI number is 8/14/2024 and was last updated on 8/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171400000XHealth and Wellness CoachNo
2202D00000XIntegrative MedicineNo
3208200000XPlastic SurgeryNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryYes
5363A00000XPhysician AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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