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
Phone: (845) 342-4774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659776896 | NPPES |
| New York | Other | 07259410 | MEDICAID |
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