Whitney Dickinson
Individual provider Active NPI Registered Nurse · Avoca, NY
NPI 1780122762 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1780122762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 632362-1 (NY)
- Practice address
- 17-29 Oliver Street
Avoca, NY 14809 - Phone
- (607) 566-2221
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632362-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 632362-1 | NY | Yes |
Addresses
Primary practice location
17-29 Oliver Street
Avoca, NY 14809
Mailing address
17-29 Oliver Street
Avoca, NY 14809
Phone (607) 566-2221
Other providers in Avoca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.