OrganizationActive
Daniel a Long MD a Professional Medical Corporation
NPI 1962702175 · Clinic/Center · Gretna, LA
Provider details
- NPI number
- 1962702175
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Daniel Long, President
Practice location
120 Meadowcrest St
#330
Gretna, LA 70056-5255
Phone: (504) 391-7560
Fax: (504) 394-2269
Mailing address
120 Meadowcrest St
Gretna, LA 70056-5255
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2010-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.