Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 211466 | MA |
N | 207YS0123X | Facial Plastic Surgeon | 249001 | NY |
NPI | 1659574101 |
---|---|
Provider Name | Dr. William Matthew White |
First Address | New York, NY 10065-7215 |
Second Address | New York, NY 10065-7215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 04/04/2019 |