White, Debra J

White, Debra J is an individual health care provider with primary practice located at 50 Great Neck Rd , Great Neck NY 11021-3305. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. White, Debra J can be contacted via phone (516) 466-3050.

Contact Information

Primary practice address
50 Great Neck Rd Great Neck NY 11021-3305
Phone: (516) 466-3050
Fax: (516) 466-4809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 036139 New York

Profile Details

NPI number 1699956128
LBN Legal business name White, Debra J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699956128 NPPES
New York MEDICAID 01562394

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