Individual
SHANTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVENUE, ROCHESTER, NY 14642
(585) 275-1385
(585) 244-7271
Mailing address
601 ELMWOOD AVENUE BOX 604, ROCHESTER, NY 14642
(412) 647-5815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
323818
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
323818
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2018
Last updated
08/24/2023
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