Individual
DANETTE WHITEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 WARREN ST, 3K, STATEN ISLAND, NY 10304-2560
(718) 720-3875
Mailing address
67 WARREN ST, 3K, STATEN ISLAND, NY 10304-2560
(718) 720-3875
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
PCIS-664
NY
374U00000X
Home Health Aide
Primary
TSI-550
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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