MEDICARE: JAMIE LYN 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	42288	NY

General Provider Information

NPI Number	:	1023944576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LYN WHITE

Provider Business Mailing Address
First Line	:	2376 ELM AVE
Second Line	:
City	:	RONKONKOMA
State	:	NY
Zip	:	11779-6646
Country	:	US
Telephone Number	:	631-707-6572
Fax Number	:

Provider Business Practice Location Address
First Line	:	2617 W HENRIETTA RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2327
Country	:	US
Telephone Number	:	585-276-7620
Fax Number	:

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

Similar Medicare Providers

1134014558 — SHELBY TALBOT LCSW
Practice Location Address:

2619 W HENRIETTA RD STE F
ROCHESTER, NY
14623-2327

Practice Phone: 585-944-3651
Practice Fax:

1568979086 — DANA DEJOHN NP
Practice Location Address:

2613 W HENRIETTA RD STE C
ROCHESTER, NY
14623-2327

Practice Phone: 585-275-0609
Practice Fax:

1528032646 — STELLA O KING MD
Practice Location Address:

2613 WEST HENRIETTA RD
ROCHESTER, NY
14623-2327

Practice Phone: 585-279-4999
Practice Fax: 585-473-5152

1558330274 — DR. KAREN E. WIENER M.D.
Practice Location Address:

2613 WEST HENRIETTA ROAD , STRONG TIES
ROCHESTER, NY
14623-2327

Practice Phone: 585-279-4900
Practice Fax: 585-461-9504

1770552341 — DR. DIANE S. MORSE M.D.
Practice Location Address:

2613 W HENRIETTA RD
ROCHESTER, NY
14623-2327

Practice Phone: 585-279-4999
Practice Fax: 585-473-5152

1790722106 — MS. KERRI LYNNE KLAJBOR RPH
Practice Location Address:

2613 W HENRIETTA RD
ROCHESTER, NY
14623-2327

Practice Phone: 585-279-4950
Practice Fax:

Directions to “ JAMIE LYN 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.