Individual
MARIA PROVENZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
11 FALCON CREST CT, HOPEWELL JUNCTION, NY 12533-6946
(845) 921-6825
Mailing address
11 FALCON CREST CT, HOPEWELL JUNCTION, NY 12533-6946
(845) 921-6825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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