Provident Health Partners Inc
Provident Health Partners Inc is a Clinic/Center in Medford, New York. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1529 N Ocean Ave Ste AMedford, NY 11763-3587
Phone: (631) 266-4501
Fax: (631) 266-4502
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1275157000 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Desousa — Administrator · (631) 266-4501 |
| NPI enumerated | June 8, 2020 |
| Last updated in NPPES | June 8, 2020 |
| Certification date | June 8, 2020 |
| Mailing address | 554 Larkfield Rd Ste 207, East Northport, NY 11731-4205 |