Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Juliette Lynn Provenzano-Gober

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336466705

Mrs. Juliette Lynn Provenzano-Gober is an Internal Medicine in Tarrytown, New York. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2010, 16 years ago. Practices with Walk in Medical Urgent Care PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tarrytown, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 263433 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336466705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2010
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Walk In Medical Urgent Care Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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