MEDICARE: MRS. DIAN WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1679835607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIAN WHITE

Provider Business Mailing Address
First Line	:	4068 EDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2244
Country	:	US
Telephone Number	:	347-202-9535
Fax Number	:

Provider Business Practice Location Address
First Line	:	4068 EDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2244
Country	:	US
Telephone Number	:	347-202-9535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	06/14/2012

Similar Medicare Providers

1477485589 — VANESSA MARIE SAJOUS
Practice Location Address:

4076 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 347-503-9214
Practice Fax:

1508198128 — MS. KARLENE CLARKE LCSW
Practice Location Address:

4048 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 917-975-3360
Practice Fax:

1568764058 — DIONNE HUGIE NP, RN
Practice Location Address:

4046 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 347-275-3570
Practice Fax:

1154685337 — MS. FAITH JOY WHITE TEACHER
Practice Location Address:

4068 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 718-994-1883
Practice Fax:

1073186706 — DOMINIQUE COOPER
Practice Location Address:

4000 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 347-951-3027
Practice Fax:

1619623857 — ON SWITCH
Practice Location Address:

4048 EDSON AVE
BRONX, NY
10466-2244

Practice Phone: 917-975-3360
Practice Fax:

Directions to “ MRS. DIAN WHITE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.