Look up the most recent NPI and PECOS records

Elizabeth S White

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth S White does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1649263369
Provider Type
Individual
Full Name
White, Elizabeth S
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/29/2005
Last Updated
3/22/2012

Contact Information

Practice Location

212 E 106th St, New York, NY 10029-4007

(212) 360-2600

(212) 360-2618

Mailing Location

33 W 88th St, New York, NY 10024-2537

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 186562 New York

Provider Identifiers

ID	Description	Issuer
ID 00355151	Description Medicaid	Issuer Unlisted New York

Elizabeth S White

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Truglio, Joseph

Drapala, Michael

Mann, Baldeep

Rahman, Irene Miti

Duenas, Maria I

Lopez-Santini, Jaime F

Kale, Minal

Ahmed, Mirza Fawad

Meah, Yasmin S

Baron, Margaret H