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Organization
T. BONNETT MEDICAL SERVICES P.C
Active
Organization
T. BONNETT MEDICAL SERVICES P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY BLACKETT-BONNETT MD (OWNER)
(347) 404-6508
Entity
Organization
Contact information
Practice address
423 LINCOLN PL, BROOKLYN, NY 11238-5497
(347) 404-6508
(718) 484-2415
Mailing address
PO BOX 69, BROOKLYN, NY 11215-0069
(347) 404-6508
(718) 484-2415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01988696
—
NY
Enumeration date
03/20/2009
Last updated
10/05/2018
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