Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Clinical Ltc Associates of Connecticut, PLLC

Organization Family Medicine Physician · NPI 1245057058

Longevity Clinical Ltc Associates of Connecticut, PLLC is a Family Medicine Physician in Hartford, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Church St
Hartford, CT 06103-1246
Phone: (561) 815-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1245057058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Manager · (561) 815-2427
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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