Individual
SALLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1214 WASHINGTON STREET, BRUSHTON, NY 12916
(518) 483-8370
Mailing address
2852 STATE ROUTE 11, NORTH BANGOR, NY 12966-2808
(518) 483-8370
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
149654-1
NY
Other
Enumeration date
08/30/2007
Last updated
04/22/2013
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