License holder summary

PROVENCE SALLY ANN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PROVENCE SALLY ANN is NEW HAVEN CT. This doctor license is not current. The license was granted 11/04/1948.

New York

Office of the Professions

PROVENCE SALLY ANN
Medicine (Physician, Including M Ds & D Os)
License number
048011
Date granted
11/04/1948
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
NEW HAVEN CT
nymedicine.org
ID 30249345
LAST UPDATED 2026-06-30 14:08:07 UTC

This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.

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