Healthcare Provider Details

I. General information

NPI: 1598282873
Provider Name (Legal Business Name): MARGARET CLARE WHITE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E HENRIETTA RD
ROCHESTER NY
14620-4213
US

IV. Provider business mailing address

6460 LIBERTY POLE RD
DANSVILLE NY
14437-9713
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-2897
  • Fax: 585-442-3143
Mailing address:
  • Phone: 585-472-3368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number548947
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: