Provident Health Partners Inc.
NPI #1275157000 in Medford, New York
Provider Information
- NPI Number
- 1275157000
- Entity Type
- Organization
- Organization Name
- Provident Health Partners Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 8, 2020
- Last Updated
- Jun 8, 2020
Practice Location
Authorized Official
- Name
- JENNIFER DESOUSA
- Title
- ADMINISTRATOR
- Phone
- (631) 266-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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