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Individual

DAWN M. WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 261-5550
(315) 261-5599
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6025

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009574
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
310 269 156
STATE DRIVERS LICENSE
NY
Enumeration date
02/27/2006
Last updated
10/31/2016
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