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

Louis Provenzano

Individual provider Specialist · NPI 1083960538

Louis Provenzano is a Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

25 Chapel St Ste 704
Brooklyn, NY 11201-1952
Phone: (718) 522-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1289275 (NY)

Record details

NPI number1083960538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012

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