Individual
MS. BONNIE LYNN GILDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(516) 569-6600
(516) 374-2261
Mailing address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(516) 569-6600
(516) 374-2261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400429-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529986
—
NY
Enumeration date
11/06/2006
Last updated
05/15/2012
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