Individual
BONNI JEANNE MARIE YENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENVIRONMENT SERVICES
Contact information
Practice address
20980 45TH DR, BAYSIDE, NY 11361-3232
(917) 605-3115
Mailing address
4736 OCEANIA ST, BAYSIDE, NY 11361-3219
(917) 605-3115
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
4881872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811147594
—
NY
Enumeration date
03/10/2021
Last updated
03/10/2021
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