Individual
COLEEN D WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1010 GIPSON ST, FAR ROCKAWAY, NY 11691-2405
(347) 692-5085
Mailing address
1010 GIPSON ST, FAR ROCKAWAY, NY 11691-2405
(347) 692-5085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300112-1
NY
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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