Provow, Cynthia J

Provow, Cynthia J is an individual health care provider with primary practice located at 80 State Highway 310 Ste 1 , Canton NY 13617-1436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Provow, Cynthia J can be contacted via phone (315) 386-2189.

Contact Information

Primary practice address
80 State Highway 310 Ste 1 Canton NY 13617-1436
Phone: (315) 386-2189
Fax: (315) 386-2435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 234215 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 259347 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 259347 New York

Profile Details

NPI number 1922288844
LBN Legal business name Provow, Cynthia J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Mar 17th, 2018 - about 7 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922288844 NPPES
Other AA103237 HARVARD
Other 42392 HARVARD

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