Provider Demographics
NPI:1912886243
Name:WHYTE, ANTHONICO
Entity type:Individual
Prefix:
First Name:ANTHONICO
Middle Name:
Last Name:WHYTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 PARK AVE APT 1007
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-2970
Mailing Address - Country:US
Mailing Address - Phone:347-661-0317
Mailing Address - Fax:
Practice Address - Street 1:2818 MILES AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3010
Practice Address - Country:US
Practice Address - Phone:800-632-7969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker