Individual
MARY E WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Mailing address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F301318
NY
363LW0102X
Women's Health Nurse Practitioner
F420144
NY
Other
Enumeration date
07/20/2006
Last updated
09/11/2025
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