New York
Office of the Professions
PROVENZANO RICHARD JOHN
Medicine (Physician, Including M Ds & D Os)
License number
141175
Date granted
02/01/1980
Date expires
03/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BENNINGTON VT
nymedicine.org
ID 30249349
LAST UPDATED 2026-04-03 01:04:39 UTC
LAST UPDATED 2026-04-03 01:04:39 UTC
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