PHYLLIS PROVOST, APRN

APRN

Psychiatric/Mental Health Registered Nurse

NPI: 1972656783Individual

Specialties, Licenses & Credentials

Psychiatric/Mental Health Registered NursePrimary

Registered Nurse — Psychiatric/Mental Health

Code: 163WP0808X

270668-1(NY)

Contact & Hours

Address: 750 VETERANS HWY
HAUPPAUGE, NY 11788
Phone: (631) 724-5522

Location

Practice Location

750 VETERANS HWY, HAUPPAUGE, NY

Quick Facts

NPI: 1972656783
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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