Longevity Clinical Ltc Associates of Connecticut, Pllc
NPI #1245057058 in Hartford, Connecticut
Provider Information
- NPI Number
- 1245057058
- Entity Type
- Organization
- Organization Name
- Longevity Clinical Ltc Associates of Connecticut, Pllc
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Sep 23, 2024
- Last Updated
- Sep 23, 2024
Practice Location
- Address
- 20 CHURCH ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06103-1246
- Phone
- (561) 815-2427
Authorized Official
- Name
- DIANE VINCUR
- Title
- MANAGER
- Phone
- (561) 815-2427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Gerontology — Gerontology |
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