Individual
MARTRICE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-8600
Mailing address
1085 JULIA ST, TEANECK, NJ 07666-4832
(201) 862-9107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0042661
NY
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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