Individual
MR. ERNEST BONNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CASAC, ICADC
Contact information
Practice address
1808 3RD AVE, NEW YORK, NY 10029-6103
(646) 632-3920
Mailing address
1788 AMSTERDAM AVE, NEW YORK, NY 10031-3514
(646) 529-0738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13120
NY
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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