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Organization

TRIANGLE MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACEY ANNE WHITE D.O. (OWNER)
(516) 799-5407
Entity
Organization

Contact information

Practice address
100 HICKSVILLE RD, MASSAPEQUA, NY 11758-5823
(516) 799-5407
(516) 799-5452
Mailing address
100 HICKSVILLE RD, MASSAPEQUA, NY 11758-5823
(516) 799-5407
(516) 799-5452

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
199041
NY

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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