Organization · Type 2 NPI
Longevity Long Term Medical Care of New York, PLLC
Primary Care Nurse Practitioner · New York, NY
NPI number
1881345650
Active
Practice location
485 Madison Ave Ste 202
New York, NY 10022-5878
Mailing address
11770 US Highway 1 Ste 102E
Palm Beach Gardens, FL 33408-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1881345650
Longevity Long Term Medical Care of New York, PLLC's National Provider Identifier is 1881345650, issued on Jan 13, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Jan 13, 2022.