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Organization
S.A.W. MEDICAL PC
Active
Organization
S.A.W. MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY WHITE DO (OWNER)
(516) 385-1525
Entity
Organization
Contact information
Practice address
135 WOODFIELD RD, WEST HEMPSTEAD, NY 11552-2524
(516) 385-1525
Mailing address
135 WOODFIELD RD, WEST HEMPSTEAD, NY 11552-2524
(516) 385-1525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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