Individual
DR. MARY ELIZABETH BONAFEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
239 HIGBIE LN, WEST ISLIP, NY 11795-2825
(631) 376-3000
Mailing address
92 S MONTGOMERY AVE, BAY SHORE, NY 11706-8808
(631) 969-3865
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
208119
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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