Organization
LONGEVITY LONG TERM MEDICAL CARE OF PENNSYLVANIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE VINCUR (PRACTICE MANAGER)
(561) 815-2427
Entity
Organization
Contact information
Practice address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
(561) 815-2427
Mailing address
11770 US HIGHWAY 1 STE N107, PALM BEACH GARDENS, FL 33408-3027
(561) 815-2427
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us