National Provider Identifier
Karin Andrea Provost, D.O., PHD
Karin Andrea Provost, D.O., PHD is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Williamsville, NY and a listed phone number of (716) 961-9900.
Profile Overview
- NPI
- 1164568374
- Provider Type
- Individual
- Primary Specialty
- Pulmonary Disease Physician
- Enumeration Date
- January 29, 2007
- Last Updated
- July 21, 2022
Practice Location
- 1020 Youngs RD
- Williamsville, NY 14221-2698
Phone: (716) 961-9900
Mailing Address
- 53 Deer Run
- Orchard Park, NY 14127-3455
Specialties
- Pulmonary Disease Physician (207RP1001X)
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1164568374
- Entity Type
- Individual
- Last Name
- Provost
- First Name
- Karin
- Middle Name
- Andrea
- Name Prefix
- Dr.
- Credential
- D.O., PHD
- Provider Other Last Name
- Schwartz
- Provider Other First Name
- Karin
- Provider Other Middle Name
- Andrea
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- D.O.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 53 Deer Run
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-3455
- Mailing Country
- US
- Mailing Phone
- (716) 662-0606
- Mailing Fax
- (716) 862-8632
- Practice Street Address
- 1020 Youngs RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2698
- Practice Country
- US
- Practice Phone
- (716) 961-9900
- Practice Fax
- (716) 961-9911
- Enumeration Date
- January 29, 2007
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pulmonary Disease Physician (207RP1001X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 03030462 (NY)