Individual
DR. ANNE GERSONY PROVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
NYMC BEHAVIORAL HEALTH CENTER,, N326, VALHALLA, NY 10595
(914) 493-7124
(914) 493-1015
Mailing address
163 GREAT OAK LANE, PLEASANTVILLE, NY 10570
(914) 773-7004
(914) 747-9285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02976658
—
NY
Enumeration date
11/10/2006
Last updated
10/06/2009
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