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Individual

BRANDON WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034168-01
NY

Other

Enumeration date
06/16/2025
Last updated
08/19/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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