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Individual

EILEEN BONYAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMH NP

Contact information

Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003482
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235900
CT
05
0045235918
CT
Enumeration date
12/29/2006
Last updated
12/14/2011
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