Individual
MS. TARA BOHENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPHON
Contact information
Practice address
3415 BAINBRIDGE AVE # CHAM9, BRONX, NY 10467-2403
(917) 596-2353
Mailing address
131 BLOOMINGDALE RD, STATEN ISLAND, NY 10309-2817
(917) 596-2353
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
687968
NY
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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