Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 193668 | NY |
NPI | 1760424881 |
---|---|
Provider Name | Dr. Dilys Whyte |
First Address | West Islip, NY 11795-0217 |
Second Address | West Islip, NY 11795-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 19/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01857854 | (05) | NY |
549951 | EMPIRE BC.BS (01) | NY |
5835636 | AETNA (01) | NY |
G86600 | (02) | NY |