Individual
ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A-C
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
1512 HOLIDAY PARK DRIVE, WANTAGH, NY 11793-2627
(516) 376-8743
(516) 826-7996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
06/12/2013
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