| Longevity Long Term Medical Care Of New York, Pllc | |
|
485 Madison Ave Ste 202 New York NY 10022-5878 | |
| (888) 885-7337 | |
| Not Available |
| Full Name | Longevity Long Term Medical Care Of New York, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 485 Madison Ave Ste 202, New York, New York |
| Authorized Official Name and Position | Diane Vincur (CLINICAL SUPPORT TALENT SPECIALIST) |
| Authorized Official Contact | 5618152427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Long Term Medical Care Of New York, Pllc 11770 Us Highway 1 Ste 102e Palm Beach Gardens FL 33408-3052 Ph: (561) 815-2427 | Longevity Long Term Medical Care Of New York, Pllc 485 Madison Ave Ste 202 New York NY 10022-5878 Ph: (888) 885-7337 |
| NPI Number | 1881345650 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 5496149007 |
|---|---|
| Medicare Enrollment ID | O20220224002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881345650 | NPI | - | NPPES |
| Provider Name | Brandii A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861800351 PECOS PAC ID: 6608095831 Enrollment ID: I20140919001056 |
| Provider Name | Ashleigh Allyn Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003297599 PECOS PAC ID: 0143536326 Enrollment ID: I20150902002379 |
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