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

CATHERINE PROVENZANO

Active Organization

CATHERINE PROVENZANO is a Clinical Social Worker organization located in PORT JEFFERSON STATION, New York. NPI 1669875936 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1669875936
Provider Type
Organization
NPI Issued
Oct 1, 2014 (11.887887886352 yrs)
Last Updated
Oct 1, 2014
License
081438 (NY)

Practice Information

Address
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY, 117761214
Browse NY providers · Browse ZIP 11776
Phone
6314875162
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in PORT JEFFERSON STATION, 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.