Individual
MR. COURTNEY RICARDO WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
5608 AVENUE H, BROOKLYN, NY 11234-1910
(347) 891-5935
Mailing address
5608 AVENUE H, BROOKLYN, NY 11234-1910
(347) 891-5935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
624288
NY
363LF0000X
Family Nurse Practitioner
Primary
340071
NY
Other
Enumeration date
11/22/2011
Last updated
10/13/2015
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