Individual
COURTNEY BOFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
71 MEADOW LN, BAYPORT, NY 11705-2203
(631) 487-7186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022368
NY
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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