Individual
CHERYL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200
Mailing address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
326536-1
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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