Individual
CHANIQUE ANDREA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 E 231ST ST APT 2F, BRONX, NY 10466-2939
(347) 615-9059
Mailing address
646 E 231ST ST APT 2F, BRONX, NY 10466-2939
(347) 615-9059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353494
NY
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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