Peter T White MA, ATC, EMT

NPI 1275660474 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1275660474
Gender Male
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3385 VETERANS MEMORIAL HWY
RONKONKOMA NY, 11779-7660, US
Phone (631) 737-2525
Fax
Business Location
989 GARDINER DR
BAY SHORE NY, 11706-7634, US
Phone (631) 665-0426
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State New York
License Number 000823-1
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According to our database, Peter T White MA, ATC, EMT NPI is 1275660474, taxonomy code is 2255A2300X and license number is 000823-1, license state is located at New York. Peter T White MA, ATC, EMT physically located at 3385 Veterans Memorial Hwy, Ronkonkoma NY, 11779-7660. NPI Number Peter T White MA, ATC, EMT has the Individual type.

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1275660474 NPI number is provided on an as is basis without warranty of any kind. 1275660474 is maintained by the National Plan & Provider Enumeration System. The contents of Peter T White MA, ATC, EMT are for informational purposes only.