White, Joan
White, Joan is an individual health care provider with primary practice located at 100 Granny Rd Ste 1 , Farmingville NY 11738-2879. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. White, Joan can be contacted via phone (631) 696-4357.Contact Information
Primary practice address
100 Granny Rd Ste 1
Farmingville NY 11738-2879
Phone: (631) 696-4357
Fax: (631) 846-8138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006205-1 | New York |
Profile Details
| NPI number | 1013052703 |
|---|---|
| LBN Legal business name | White, Joan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jun 7th, 2019 - about 6 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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