Gloria Provitola, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004415 Issued in NY

Practice address

448 W 57TH St
Health on 57--Garden Level
New York, NY 10019-3055

Phone

(917) 502-4566

NPI assigned

Mar 10, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331337600000",
    "number": "1821363763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 95TH ST",
            "address_2": "APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256103",
            "telephone_number": "917-502-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 W 57TH ST",
            "address_2": "HEALTH ON 57--GARDEN LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193055",
            "telephone_number": "917-502-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVITOLA",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2012-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Proverbs
• John A Provet, MD
• Joseph A Provetto, CSW-R
• Nydia Elena Providence, M.D.
• Scott Clifford Province, DDS
• Madison Prowak
• Khadija C. Prowell, BCBA
• Kayla Proya, LMSW
• Abigail Elaine Pruchnicki, LP
• Alec Pruchnicki, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.