Individual
JASON T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15 S FOREST RD, WILLIAMSVILLE, NY 14221-6425
(716) 634-5993
(716) 478-0946
Mailing address
15 S FOREST RD, WILLIAMSVILLE, NY 14221-6425
(716) 634-5993
(716) 478-0946
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026080003
UNIVERA
—
01
—
000526926001
BLUE CROSS BLUE SHIELD WN
—
01
—
000526926002
BLUE CROSS BLUE SHIELD WN
—
05
—
02344012
—
NY
Enumeration date
09/20/2006
Last updated
04/15/2014
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