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Provision at New York LLC

NPI 1467749630ActiveOrganization· Clinic/Center· Rego Park, NY

Clinic/Center in Rego Park, New York, registered in NPPES in July 2011. The authorized official on file is Emily Y. Chu, OD, Ceo.

Overview

NPI1467749630
StatusActive
Entity typeOrganization
NPI issuedJul 7, 2011
Last updated in NPPESJul 31, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000XTUV006676NY
Clinic/Center, Primary Care261QP2300XTUV006676NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Rego Park

All Clinic/Center providers in New York