Individual
MRS. ANNE D BONURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. EDUCATION
Contact information
Practice address
4027 HAHN AVE, BETHPAGE, NY 11714-5012
(516) 731-0803
Mailing address
4027 HAHN AVE, BETHPAGE, NY 11714-5012
(516) 731-0803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
041243011
NY
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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