Individual
JUNIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17617 130TH AVE, JAMAICA, NY 11434-5823
(917) 502-4262
Mailing address
17617 130TH AVE, JAMAICA, NY 11434-5823
(917) 502-4262
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
599878-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307491
NY
Other
Enumeration date
10/19/2010
Last updated
07/23/2021
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