White, Judith

White, Judith is an individual health care provider with primary practice located at 80Th Street & 41St Avenue , Elmhurst NY 11373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. White, Judith can be contacted via phone (718) 334-5970.

Contact Information

Primary practice address
80Th Street & 41St Avenue Elmhurst NY 11373
Phone: (718) 334-5970
Fax: (718) 334-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303373 New York

Profile Details

NPI number 1114149606
LBN Legal business name White, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 11th, 2015 - about 9 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 1114149606 NPPES
New York MEDICAID 02904910

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