Individual
CORRESA E WHYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
430 W MERRICK RD, STE 16, VALLEY STREAM, NY 11580-5201
(516) 816-0126
Mailing address
430 W MERRICK RD, STE 16, VALLEY STREAM, NY 11580-5201
(718) 276-0365
(718) 276-4751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004534-1
NY
Other
Enumeration date
05/26/2006
Last updated
01/23/2016
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