Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 173622 | NY |
Y | 207VG0400X | Gynecologist | 173622 | NY |
NPI | 1073540803 |
---|---|
Provider Name | Barbara R White |
First Address | Hopewell Junction, NY 12533 |
Second Address | Hopewell Junction, NY 12533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 22/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E78569 | (02) |