Individual
BERNARD PAUL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 WILLIAMSBRIDGE RD APT 1, BRONX, NY 10461-6289
(646) 533-5200
(646) 809-8597
Mailing address
1610 WILLIAMSBRIDGE RD APT 1, BRONX, NY 10461-6289
(646) 533-5200
(646) 809-8597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
159523
NY
208600000X
Surgery Physician
ME141426
FL
2086S0102X
Surgical Critical Care Physician
159523
NY
2086S0102X
Surgical Critical Care Physician
ME141426
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01202079
—
NY
01
—
PENDING
MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
10/19/2006
Last updated
12/07/2023
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