| NPI | 1366012247 |
|---|---|
| Doing Business As | LONGEVITA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DENISE STINARDO Practice Administrator 585-269-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |