New York
Office of the Professions
PROVO JAMES E
Medicine (Physician, Including M Ds & D Os)
License number
197382
Date granted
10/06/1994
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30249363
LAST UPDATED 2026-03-14 10:57:51 UTC
LAST UPDATED 2026-03-14 10:57:51 UTC
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