Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Therapeutics, LLC

Organization Internal Medicine Physician · NPI 1992216907

Providence Therapeutics, LLC is an Internal Medicine Physician in Buffalo, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

141 Elm St Apt 3C
Buffalo, NY 14203-2083
Phone: (401) 935-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 238099 (NY)

Record details

NPI number1992216907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Martinez — Owner · (401) 935-2067
Other names Providence Therapeutics
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017
Mailing address141 Elm St Apt 3c, Buffalo, NY 14203-2083

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