Provider Demographics
NPI:1376049981
Name:LONG, AMANDA COREY (DO)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:COREY
Last Name:LONG
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2112 HARRISBURG PIKE STE 202
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:516-526-2382
Mailing Address - Fax:
Practice Address - Street 1:555 NORTH DUKE STREET
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-5935
Practice Address - Fax:717-544-8015
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2025-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS021830207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology