Individual
BONNIE DEGROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 BARCLAY MNR, NEWBURGH, NY 12550-7803
(845) 484-4557
Mailing address
1702 BARCLAY MNR, NEWBURGH, NY 12550-7803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
297025-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01641143
—
NY
Enumeration date
05/21/2008
Last updated
05/27/2008
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