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

Province Therapeutics, LLC

Organization Community/Behavioral Health Agency · NPI 1801288568

Province Therapeutics, LLC is a Community/Behavioral Health Agency in Forest Hills, New York. Registered with an NPI since 2015.

In the registry since
2015
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

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7200
Phone: (631) 827-9189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1801288568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Patrick — Owner · (631) 827-9189
NPI enumeratedMarch 4, 2015
Last updated in NPPESMarch 23, 2017
Mailing address11835 Queens Blvd, Suite 400, Forest Hills, NY 11375-7200

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