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

Longevity Long Term Medical Care of Pennsylvania PLLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1720796196

Longevity Long Term Medical Care of Pennsylvania PLLC is a Geriatric Medicine (Family Medicine) Physician in Harrisburg, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

2595 Interstate Dr Ste 103
Harrisburg, PA 17110-9378
Phone: (561) 815-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1720796196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Practice Manager · (561) 815-2427
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address11770 Us Highway 1 Ste N107, Palm Beach Gardens, FL 33408-3027

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