Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 150353-1 | NY |
NPI | 1225095433 |
---|---|
Provider Name | Dr. Laurel M White |
First Address | Snyder, NY 14226-4500 |
Second Address | Snyder, NY 14226-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B35617 | (02) | NY |