Individual
MS. ERICA C WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 GRAND ST, NEW YORK, NY 10002-4800
(212) 420-1970
Mailing address
129 CANNON AVE, STATEN ISLAND, NY 10314-4607
(917) 566-3104
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1133156171
NY
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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