All Medicaid billing entities listing PROVENZANO, SUSAN (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $5.74M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | THE SHIELD OF DAVID, INC. | BAYSIDE, NY | Clinic/Center | $5.74M |