Individual
MS. BONNIE EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28 PARK AVE APT 6, AMITYVILLE, NY 11701-3156
(315) 664-5661
Mailing address
28 PARK AVE APT 6, AMITYVILLE, NY 11701-3156
(315) 664-5661
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
264745
NY
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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