Provost, Justin A.

Provost, Justin A. is an individual health care provider with primary practice located at 848 Route 50 , Burnt Hills NY 12027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Provost, Justin A. can be contacted via phone (518) 831-1500.

Contact Information

Primary practice address

848 Route 50 Burnt Hills NY 12027

Phone: (518) 831-1500

Fax: (518) 280-8464

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Internal Medicine	207R00000X	GME PERMIT	Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine	207R00000X	R2077	Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology	207RG0100X	278649	New York

Profile Details

NPI number	1588806608
LBN Legal business name	Provost, Justin A.
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 3rd, 2009
Last updated	Feb 12th, 2024 - about 10 months ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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