| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ARIEL REBECCA LONG | 1548657281 | 2023-05-07 |
Ariel R Long [F] graduated in 2015 from University Of North Texas Hsc, College Of Osteopathic Med and primarily specializes in Internal Medicine.
Ariel Rebecca Long is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548657281. Registration indicates Ariel Rebecca Long is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 6305167156 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ariel Rebecca Long D.O. |
| Other Provider Name | Ariel Rebecca Riezenman |
| Practice Office Address | 920 MADISON AVE SUITE 447 MEMPHIS, TN US |
| Practice Office Telephone | 9014485737 |
| Mailing Address | 920 MADISON AVE ROOM 534 MEMPHIS, TN 38163 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 176 Crestmere Pl | Memphis, TN 381123202 | 9565721884 |
| Direct Message Address [Direct Message Address] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 3709
TN |