person
Ms. Phyllis Provost, APRN
Psychiatric/Mental Health Registered Nurse in Hauppauge, New York
NPI 1972656783

Phyllis Provost is a Psychiatric/Mental Health Registered Nurse based in Southampton, NY and is specialized in Psychiatric/Mental Health. Phyllis Provost practices in Hauppauge, NY and has the professional credentials of APRN. The NPI Number for Phyllis Provost is 1972656783 and holds a License No. 270668-1 (New York).

The current practice location address for Phyllis Provost is 750 Veterans Hwy, Hauppauge, NY and can be reached out via phone at 631-724-5522 and via fax at 631-724-5546. You can also correspond with Phyllis Provost through the mailing address at 77 RIDGE RD, SOUTHAMPTON, NY - 11968-3608 (mailing address contact number: 631-724-5522).

Location: 750 Veterans Hwy, Hauppauge, NY, 11968-3608
person
Provider Profile Details
NPI Number
1972656783
Provider Name
Phyllis Provost
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
750 Veterans Hwy, Hauppauge, NY, 11968-3608
Phone Number
631-724-5522
Fax Number
631-724-5546
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
750 Veterans Hwy
City
State
Zip
11788-2943
Phone Number
631-724-5522
Fax Number
631-724-5546
person
Provider Business Mailing Address Details
Address
750 Veterans Hwy
City
State
Zip
11788-2943
Phone Number
631-724-5522
Fax Number
631-724-5546
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
270668-1 (New York)
Definition
Definition to come...
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