Provider Demographics
NPI:1063801512
Name:WHITE, DANILO A (LPN)
Entity type:Individual
Prefix:MR
First Name:DANILO
Middle Name:A
Last Name:WHITE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 AFFINITY LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-1722
Mailing Address - Country:US
Mailing Address - Phone:585-748-6948
Mailing Address - Fax:
Practice Address - Street 1:1331 AFFINITY LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-1722
Practice Address - Country:US
Practice Address - Phone:585-748-6948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319122164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse