Individual
MR. ANDREW JASON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
150 REED AVE, SYRACUSE, NY 13207-1108
(315) 542-8417
Mailing address
150 REED AVE, SYRACUSE, NY 13207-1108
(315) 542-8417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
510017
NY
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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