MRS. Claudia Mike Provenzale, AGNP
NPI #1245009547 in Stony Brook, New York
Provider Information
- NPI Number
- 1245009547
- Entity Type
- Individual
- Name
- MRS. Claudia Mike Provenzale, AGNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- AGNP
- Enumeration Date
- Dec 28, 2023
- Last Updated
- Jan 16, 2026
Practice Location
- Address
- 2500 NESCONSET HWY BLDG 11D
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2553
- Phone
- (631) 689-7899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Internal Medicine |
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