Provider Demographics
NPI:1801954169
Name:WHYTE, MARY CHRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:CHRISTINA
Last Name:WHYTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARY CHRISTINA
Other - Middle Name:MERRY
Other - Last Name:WHYTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19 HILLS RD
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1320
Mailing Address - Country:US
Mailing Address - Phone:518-262-5831
Mailing Address - Fax:
Practice Address - Street 1:50 NEW SCOTLAND AVE
Practice Address - Street 2:MAIL CODE 191
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3403
Practice Address - Country:US
Practice Address - Phone:518-262-5831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2239822086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery