KAYLA EMILY PROVENZANO

RIVERHEAD, NY
NPI1609599307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  350411)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
KAYLA EMILY PROVENZANO FNP
1272 E MAIN ST
RIVERHEAD, NY 11901-2583
Phone number: 631-284-3797
Mailing Address
KAYLA EMILY PROVENZANO FNP
137 DAWN DR
CENTEREACH, NY 11720-2243
Phone number:
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