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Individual

REBECCA JO WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PNP

Contact information

Practice address
460 W 41ST ST, COVENANT HOUSE UNDER 21, NYC, NY 10036-6801
(212) 613-0315
(212) 268-2832
Mailing address
460 WEST 41ST STREET, COVENANT HOUSE UNDER 21, NYC, NY 10036-6801
(212) 613-0315
(212) 268-2832

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
381661
NY

Other

Enumeration date
12/08/2008
Last updated
12/08/2008
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