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CLAUDIA PROVENZALE, AGNP
AGNP
Adult Health Nurse Practitioner
NPI: 1245009547IndividualAccepts Medicare
Specialties, Licenses & Credentials
Adult Health Nurse PractitionerPrimary
Nurse Practitioner — Adult Health
Code: 363LA2200X
310912(NY)
Internal Medicine Physician
Internal Medicine
Code: 207R00000X
F310912-01(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 2500 NESCONSET HWY BLDG 11D
STONY BROOK, NY 11790 - Phone
- (631) 689-7899
Quick Facts
- NPI
- 1245009547
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
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