Individual
BONNIE L PANTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 ROBBINS LN, SYOSSET, NY 11791-6003
(516) 364-5804
Mailing address
157 ROBBINS LN, SYOSSET, NY 11791-6003
(516) 364-5804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004993-1
NY
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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