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

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X234215 (MA)
Obstetrics & Gynecology Physician 207V00000X259347 (NY)
General Practice Physician Primary 208D00000X259347 (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

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.