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Search › New York › 207V00000X

Douglas Provost, MD

NPI 1386633634 · on the registry since 2005

Practice

Address
161 Carey Rd
Queensbury, NY 12804
Phone
(518) 824-8610
Organisation at this address
Kph Healthcare Services, Inc.
Hudson Headwaters Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
65

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York