Individual provider · Type 1 NPI

Brianna Nicole Longo, PA-C

Surgical Physician Assistant · New Britain, CT

NPI number 1740956366 Active

Practice location

100 Grand St
New Britain, CT 06052-2016

Call (860) 224-5011 Map

Mailing address

43 Clark St
Wolcott, CT 06716-1422

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1740956366

Brianna Nicole Longo, PA-C's National Provider Identifier is 1740956366, issued on Aug 23, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Britain, CT. The record was last updated on Aug 23, 2021.