MEDICARE: MRS. CYNTHIA JAMES-WHITE R.N.C

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	163WG0600X	Gerontology Registered Nurse	426261	NY

General Provider Information

NPI Number	:	1588069959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA JAMES-WHITE R.N.C

Provider Business Mailing Address
First Line	:	140 SAINT EDWARDS ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3904
Country	:	US
Telephone Number	:	718-858-6400
Fax Number	:	718-237-0137

Provider Business Practice Location Address
First Line	:	140 SAINT EDWARDS ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3904
Country	:	US
Telephone Number	:	718-858-6400
Fax Number	:	718-237-0137

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

Provider Enumeration Date	:	10/28/2014
Last Update Date	:	10/28/2014

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