PETER T WHITE

RONKONKOMA, NY
NPI1275660474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  000823-1)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- PETER T WHITE MA, ATC, EMT
3385 VETERANS MEMORIAL HWY
RONKONKOMA, NY 11779-7660
Phone number: 631-737-2525
Mailing Address
-- PETER T WHITE MA, ATC, EMT
989 GARDINER DR
BAY SHORE, NY 11706-7634
Phone number: 631-665-0426