Individual
MISS JAIMIE ADELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
306 WINDSOR HWY, NEW WINDSOR, NY 12553-6908
(845) 787-1400
(845) 787-1393
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018605
NY
363AM0700X
Medical Physician Assistant
Primary
018605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04198481
—
NY
Enumeration date
03/03/2011
Last updated
01/08/2025
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