Individual
BONNIE KASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 PARK AVENUE, 5TH FLOOR, BINGHAMTON, NY 13903-1605
(607) 762-2251
(607) 762-2269
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 762-2251
(607) 762-2269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338975
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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