Ian Lee Provancha MD

  • NPI 1700376530
According to our database, the NPI number for Ian Lee Provancha MD is 1700376530 and activated since 5 years ago. Ian Lee Provancha MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 475 Seaview Ave, Staten Island, NY 10305. You can also contact Ian Lee Provancha MD via telephone number is (718) 226-8855. Provider NPI information was last updated on 05/17/2018.

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Overview of Ian Lee Provancha MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/17/2018
  • Last updated: 05/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 475 Seaview Ave
    Staten Island, NY 10305
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 475 Seaview Ave
    Staten Island, NY 10305
  • Phone: 718-226-8855
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ian Lee Provancha MD?
  • A: The npi number for Ian Lee Provancha MD is 1700376530.
  • Q: What are Ian Lee Provancha MD's specialties?
  • A: Ian Lee Provancha MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Ian Lee Provancha MD?
  • A: The medical license number for Ian Lee Provancha MD is unknow and issued in unknow in USA.
  • Q: Where is Ian Lee Provancha MD practice location?
  • A: Ian Lee Provancha MD is practicing at 475 Seaview Ave, Staten Island, NY 10305.
  • Q: How to contact Ian Lee Provancha MD?
  • A: You can contact Ian Lee Provancha MD via 718-226-8855.
Medicare Specialty
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Clinical Pharmacology
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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