White, Patricia J

White, Patricia J is an individual health care provider with primary practice located at 1801 6Th Ave , Troy NY 12180-3400. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. White, Patricia J can be contacted via phone (518) 274-5143.

Contact Information

Primary practice address
1801 6Th Ave Troy NY 12180-3400
Phone: (518) 274-5143
Fax: (518) 273-1350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3296 New York

Profile Details

NPI number 1063676799
LBN Legal business name White, Patricia J
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - about 16 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 1063676799 NPPES
New York MEDICAID 01420800

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