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Douglas E Provost, MD
Obstetrics & Gynecology Physician in Queensbury, New York
NPI 1386633634

Douglas E Provost is a Obstetrics & Gynecology Physician based in Queensbury, NY. Douglas E Provost practices in Queensbury, NY and has the professional credentials of MD. The NPI Number for Douglas E Provost is 1386633634 and holds a License No. 134188 (New York).

The current practice location address for Douglas E Provost is 161 Carey Rd, Queensbury, NY and can be reached out via phone at 518-824-8610.

Location: 161 Carey Rd, Queensbury, NY, 12804-7880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386633634
Provider Name
Douglas E Provost
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
161 Carey Rd, Queensbury, NY, 12804-7880
Phone Number
518-824-8610
Fax Number
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000405036002 01 BLUE SHIELD
00460999 05 NY
16454 01 MVP
10001652 01 CDPHP
DP077E5610 01 EBS
institution
Provider Business Practice Location Address Details
Address
161 Carey Rd
City
Queensbury
State
New York
Zip
12804-7821
Phone Number
518-824-8610
Fax Number
person
Provider Business Mailing Address Details
Address
161 Carey Rd
City
Queensbury
State
New York
Zip
12804-7821
Phone Number
518-824-8610
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
134188 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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