Individual
MS. CHRISTINE MARIE BONANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
953 HIGH ST, VICTOR, NY 14564-1168
(585) 924-3252
Mailing address
30 CARVERDALE DR, ROCHESTER, NY 14618-4004
(585) 271-4644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005138-1
NY
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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