Provider Demographics
NPI:1396982252
Name:WHITE-FRICKER, ELIZABETH POST (DO)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:POST
Last Name:WHITE-FRICKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2340
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11969-2340
Mailing Address - Country:US
Mailing Address - Phone:631-283-2430
Mailing Address - Fax:631-283-7496
Practice Address - Street 1:386 MONTAUK HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:WAINSCOTT
Practice Address - State:NY
Practice Address - Zip Code:11975-2000
Practice Address - Country:US
Practice Address - Phone:631-537-3765
Practice Address - Fax:631-537-4296
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012013207Q00000X
NY257656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine