Individual
MS. ROSALIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8268 164TH ST STE 1B-02, JAMAICA, NY 11432-1121
(718) 883-3074
Mailing address
8268 164TH ST STE 1B-02, JAMAICA, NY 11432-1121
(718) 883-3074
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382779
NY
Other
Enumeration date
09/13/2012
Last updated
05/30/2020
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