MS. Phyllis Provost, APRN is a psychiatric/mental health registered nurse in Hauppauge, NY with 49 years of experience. MS. Phyllis Provost, APRN NPI is 1972656783. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
750 VETERANS HWY
HAUPPAUGE, NY
ZIP 11788-943
Phone: (631) 724-5522
Fax: (631) 724-5546
The NPI 1972656783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/8/2007.