Individual provider · Type 1 NPI
Cynthia J. Provow, MD
General Practice Physician · Canton, NY
NPI number
1922288844
Active
Practice location
80 State Highway 310 Ste 1
Canton, NY 13617-1436
Fax (315) 386-2435
Mailing address
80 State Highway 310
Canton, NY 13617-1436
Other practice locations
- 22 Center St, Massena, NY 13662-1437 · (315) 764-0265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 234215 (MA) |
| Obstetrics & Gynecology Physician | 207V00000X | 259347 (NY) |
| General Practice Physician Primary | 208D00000X | 259347 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
20 other providers at this address
- ST Lawrence CountyCommunity/Behavioral Health Agency Canton, NY NPI 1699898635
- Antoine Gabriel, MDChild & Adolescent Psychiatry Physician Canton, NY NPI 1346371705
- Brianna FosterClinical Social Worker Canton, NY NPI 1891285631
- Desirae Marie Malone, CRPA-PPeer Specialist Canton, NY NPI 1124817788
- Erin Hunneyman, CASAC-ADV., GAddiction (Substance Use Disorder) Counselor Canton, NY NPI 1235035452
- Gidget Q.v. Rafus-Rousell, CASAC IIMental Health Counselor Canton, NY NPI 1376827196
- Heather Dedrick, RNAddiction (Substance Use Disorder) Registered Nurse Canton, NY NPI 1891428157
- Jamie Lynn Gibson, FNPFamily Nurse Practitioner Canton, NY NPI 1225275548
- Jeselyn Simpson, RNRegistered Nurse Canton, NY NPI 1568274124
- Kaylie E. Deshane, CASACAddiction (Substance Use Disorder) Counselor Canton, NY NPI 1669879060
- Kristina Beth Kelly-Snow, MS IN MENTAL HEALTHMental Health Counselor Canton, NY NPI 1447667878
- Mackenzie LaughlinPeer Specialist Canton, NY NPI 1184510034
About NPI 1922288844
Cynthia J. Provow, MD's National Provider Identifier is 1922288844, issued on Nov 8, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Canton, NY. The record was last updated on Mar 17, 2018.