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David White

NPI 1144692799 · on the registry since 2015 · sole proprietor

Practice

Address: 11630 Sutphin Blvd
Jamaica, Queens
Jamaica, NY 11434
Phone: (718) 322-2500
Fax: (718) 322-1881
Organisation at this address: Q.V.C.M.H. J-Cap
Queens Village Committee For Mental Health Jcap
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York