Individual
MRS. CLAUDIA MIKE PROVENZALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2500 NESCONSET HWY BLDG 11D, STONY BROOK, NY 11790-2553
(631) 689-7899
(631) 689-7865
Mailing address
2500 NESCONSET HWY, STONY BROOK, NY 11790-2555
(631) 689-7899
(631) 689-7685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F310912-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310912
NY
Other
Enumeration date
12/28/2023
Last updated
01/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us