Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
293 BENEDICT AVE, TARRYTOWN, NY 10591-4327
(914) 366-2600
Mailing address
106 BON AIRE CIR W APT 8N, SUFFERN, NY 10901-7041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003613
NY
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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