Search › New York › 363LA2200X
Claudia Provenzale, AGNP
NPI 1245009547 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2500 Nesconset Hwy Bldg 11d
Stony Brook, NY 11790 - Phone
- (631) 689-7899
- Fax
- (631) 689-7865
- Organisation at this address
- A Kim Medical Pc
Rocco Caruso, Md
Albert Kim, Md,Pc
Scott Berman Md Pc
Ira Chernoff,Md PciInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York