MEDICARE: MS. GEORGIANNA WHYTE

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	163WA2000X	Administrator Registered Nurse	299520	NY

General Provider Information

NPI Number	:	1811100472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GEORGIANNA WHYTE

Provider Business Mailing Address
First Line	:	48 E 58TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-3712
Country	:	US
Telephone Number	:	718-385-5970
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 COURT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4859
Country	:	US
Telephone Number	:	718-625-3522
Fax Number	:	718-625-0299

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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