Provider Demographics
NPI:1912171729
Name:HC LONGACRE-PRICE MD PLLC
Entity Type:Organization
Organization Name:HC LONGACRE-PRICE MD PLLC
Other - Org Name:EVA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:LONGACRE-PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-625-3200
Mailing Address - Street 1:4 WELLINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-4221
Mailing Address - Country:US
Mailing Address - Phone:607-625-3200
Mailing Address - Fax:
Practice Address - Street 1:9578 STATE ROUTE 434
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1070
Practice Address - Country:US
Practice Address - Phone:607-625-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223913207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF29074Medicare UPIN
NYBA0684Medicare PIN