| Doctor Name: | MARY E WHITE |
| NPI Number: | 1689694713 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F301318 |
| Business Practice Address: | 284 Pulaski Rd Greenlawn, NY - 117401602 |
| Business Phone Number: | 6314255250 |
| Business Fax Number: | 6314250140 |
| Mailing Address: | 284 Pulaski Rd, GREENLAWN |
| State: | NY |
| Postal Code: | 117401602 |
| Phone Number: | 6314255250 |
| Fax Number: | 6314250140 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | F301318 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |