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Individual

KAYCEAN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2614 HALPERIN AVE, BRONX, NY 10461-2631
(185) 837-7367
Mailing address
PO BOX 30456, BROOKLYN, NY 11203-0456
(929) 269-2797

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402946-01
NY

Other

Enumeration date
10/06/2021
Last updated
03/02/2022
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