Individual
JAIME BONURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JEFFERSON BLVD, STATEN ISLAND, NY 10312-3329
(347) 996-2519
Mailing address
6019 AMBOY RD, STATEN ISLAND, NY 10309-3146
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
552429
NY
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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