Individual
CASSIDY LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2579
Mailing address
66 SURREY LN, GLASTONBURY, CT 06033-3259
(860) 216-7587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2021
Last updated
08/08/2023
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