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LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK PLLC NPI 1881345650


NPI Information

NPI: 1881345650
Provider Name: LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
485 MADISON AVE STE 202
NEW YORK, NY
ZIP 10022
Phone: (888) 885-7337
Get Directions

LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC is a primary care nurse practitioner in New York, NY. LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC NPI is 1881345650. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

485 MADISON AVE STE 202
NEW YORK, NY
ZIP 10022-878
Phone: (888) 885-7337

The provider's authorized official is Diane Vincur .
The authorized official title is Clinical Support Talent Specialist and has the following contact phone number (561) 815-2427.

The enumeration date for this NPI number is 1/13/2022 and was last updated on 1/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3363LG0600XNurse PractitionerGerontologyNo
4363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.