Jaimie Adelle White PA

NPI 1053619817 - Physician Assistant - 363A00000X

NPI Details
NPI 1053619817
Gender Female
Enumeration Date 03/03/2011
Last Updated 12/24/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1530 ROUTE 9
WAPPINGERS FALLS NY, 12590-4131, US
Phone (845) 297-2511
Fax (845) 297-4993
Business Location
1351 ROUTE 55
SUITE 200
LAGRANGEVILLE NY, 12540-5108, US
Phone (845) 475-9661
Fax (760) 557-0128
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA054830
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According to our database, Miss Jaimie Adelle White PA NPI is 1053619817, taxonomy code is 363A00000X and license number is MA054830, license state is located at Pennsylvania. Jaimie Adelle White PA physically located at 1530 Route 9, Wappingers Falls NY, 12590-4131. NPI Number Jaimie Adelle White PA has the Individual type.

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1053619817 NPI number is provided on an as is basis without warranty of any kind. 1053619817 is maintained by the National Plan & Provider Enumeration System. The contents of Jaimie Adelle White PA are for informational purposes only.