White, Gina A

White, Gina A is an sole proprietor health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Gina A can be contacted via phone (845) 342-4774.

Contact Information

Primary practice address
111 Maltese Dr Middletown NY 10940-2141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 346705 New York

Profile Details

NPI number 1659776896
LBN Legal business name White, Gina A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2014
Last updated Oct 3rd, 2022 - about 2 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 1659776896 NPPES
New York Other 07259410 MEDICAID

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