Individual
DR. ANTHONY FRANK PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PONDFIELD RD W, STE 1, BRONXVILLE, NY 10708-2666
(914) 961-3421
(914) 961-0360
Mailing address
1 PONDFIELD RD W, STE 1, BRONXVILLE, NY 10708-2666
(914) 961-3421
(914) 961-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
131172-1
NY
207RH0003X
Hematology & Oncology Physician
Primary
131172-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704105
—
NY
Enumeration date
12/08/2006
Last updated
12/05/2022
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