Individual
MR. DANE E BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
111 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4719
(631) 843-0500
Mailing address
111 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035988-1
NY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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