Gloria Provitola, L. AC

NPI 1821363763 · on the registry since 2012 · sole proprietor

Practice

Address: 448 W 57th St
Health On 57--Garden Level
New York, NY 10019
Phone: (917) 502-4566
Organisation at this address: Midwifery Collective
Lymphedema Alliance Of New York
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-03-10

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