Organization
LONGEVITY MEDICAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS JOSEPH TRANESE DO (MANAGING MEMBER)
(917) 589-4482
Entity
Organization
Contact information
Practice address
9907 3RD AVE APT 4B, BROOKLYN, NY 11209-7946
(917) 589-4482
(212) 656-1336
Mailing address
9907 3RD AVE APT 4B, BROOKLYN, NY 11209-7946
(917) 589-4482
(212) 656-1336
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
231468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112078
GHI
—
01
—
0M1292
HEALTHNET
—
01
—
133936687
UPN ELITE
—
01
—
1639J1
EMPIRE BLUE CROSS BLUE SH
—
01
—
231468N02
HIP
—
01
—
2666402
UNITEDHEALTHCARE
—
01
—
5438003
CIGNA
—
01
—
NY231468-60
LOCAL 1199
—
01
—
P3677835
OXFORD FREEDOM PLAN
—
Enumeration date
03/29/2007
Last updated
02/13/2019
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