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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVISION AT NEW YORK LLC

Active Organization

PROVISION AT NEW YORK LLC is a Clinic/Center organization located in REGO PARK, New York. NPI 1467749630 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · REGO PARK, NY

Registration Details

NPI Number
1467749630
Provider Type
Organization
NPI Issued
Jul 7, 2011 (15.138064365352 yrs)
Last Updated
Jul 31, 2012
Licenses
TUV006676 (NY)
TUV006676 (NY)

Practice Information

Address
6135 JUNCTION BLVD
REGO PARK, NY, 113742771
Browse NY providers · Browse ZIP 11374
Phone
7187607862
Fax
7187607861
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center

Other Clinic/Center Organizations in REGO PARK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.