Individual
MISS MICHELE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2337
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2337
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004362-1
NY
Other
Enumeration date
03/18/2008
Last updated
06/05/2023
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