Gloria Provitola, L. Ac.
Acupuncturist in New York, NY. Individual provider (NPI-1).
NPI number1821363763
StatusActive
Last updated in NPPESMar 10, 2012
Details
- NPI
- 1821363763
- Entity type
- Individual (NPI-1)
- Name
- Ms. Gloria Provitola
- Credential
- L. Ac.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2012
- Last updated
- Mar 10, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 004415 | NY | Yes |
Practice location
448 W 57th StHealth On 57--Garden Level
New York, NY 10019-3055
Phone 917-502-4566
Mailing address
311 W 95th StApt 2b
New York, NY 10025-6103
Phone 917-502-4566
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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