NPI 1679955959 · live from the CMS NPI Registry
Michael V. Longo, M.D.
Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1679955959, active.
NPI record
| NPI | 1679955959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-8809 |
| Enumerated | June 23, 2015 |
| Last updated | November 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | LP03595 (RI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD15970 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.