Individual
BONNIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 631-4191
Mailing address
761 MIDDLE COUNTRY RD, SELDEN, NY 11784-2550
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
264922
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2008
Last updated
05/25/2017
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