Provider Demographics
NPI:1861884033
Name:US MEDICAL STAFFING, LLC
Entity type:Organization
Organization Name:US MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGO
Authorized Official - Suffix:
Authorized Official - Credentials:CVT
Authorized Official - Phone:631-385-1700
Mailing Address - Street 1:115 BROADHOLLOW RD
Mailing Address - Street 2:SUITE 375
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4992
Mailing Address - Country:US
Mailing Address - Phone:631-385-1700
Mailing Address - Fax:631-237-1217
Practice Address - Street 1:115 BROADHOLLOW RD
Practice Address - Street 2:SUITE 375
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4992
Practice Address - Country:US
Practice Address - Phone:631-385-1700
Practice Address - Fax:631-237-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency