New York
Office of the Professions
PROVENZANO JAMES D
Medicine (Physician, Including M Ds & D Os)
License number
153119
Date granted
01/28/1983
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
HUNTINGTON NY
nymedicine.org
ID 30249347
LAST UPDATED 2024-03-24 01:12:31 UTC
LAST UPDATED 2024-03-24 01:12:31 UTC
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