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NPI Code Detail

MEDICARE: DANIELLE JASMINE WHITE LMSW

MEDICARE: DANIELLE JASMINE WHITE LMSW
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
1101YM0800XMental Health Counselor103178NY

General Provider Information

NPI Number : 1255806741
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE JASMINE WHITE LMSW
Provider Business Mailing Address
First Line : 82 GAVIN ST
Second Line :
City : YONKERS
State : NY
Zip : 10701-5629
Country : US
Telephone Number : 215-260-0400
Fax Number :
Provider Business Practice Location Address
First Line : 860 MELROSE AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-4443
Country : US
Telephone Number : 917-473-6996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2018
Last Update Date : 10/10/2018

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