Individual
CHRISTINE BONCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20 BACON LN, BABYLON, NY 11702-2402
(631) 893-3187
Mailing address
20 BACON LN, BABYLON, NY 11702-2402
(631) 893-3187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011498 DUP
NY
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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