Individual
BONNIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
(516) 912-3225
Mailing address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
(516) 912-3225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/25/2022
Last updated
07/18/2023
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