Individual
ANGELA WHYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 PEARSALL AVE, BRONX, NY 10469-5009
(718) 200-4675
Mailing address
3206 PEARSALL AVE, BRONX, NY 10469-5009
(718) 200-4675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
262682-1
NY
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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