TRIANGLE MEDICAL, PC
Medical Practice at Hicksville Rd, East Massapequa, NY

License number
New York 199041
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. STACEY ANNE WHITE D.O.
Title: OWNER
Phone: (516) 799-5407
Address
Address
100 Hicksville Rd, East Massapequa, NY 11758
National Provider ID: 1528384872
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRIANGLE MEDICAL, PC

100 Hicksville Rd, Massapequa, NY 11758

Registration:
Mar 26, 2010
State ID:
3929456
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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