License holder summary

PROVOST KARIN ANDREA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PROVOST KARIN ANDREA is ORCHARD PARK NY. This doctor license is current. The license was granted 08/01/2008 and expired on 04/30/2016.

New York

Office of the Professions

PROVOST KARIN ANDREA
Medicine (Physician, Including M Ds & D Os)
License number
249836
Date granted
08/01/2008
Date expires
04/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
ORCHARD PARK NY
nymedicine.org
ID 30249364
LAST UPDATED 2026-05-06 17:14:38 UTC

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