Individual
DR. ELFRIDA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
914 PINELAKE DR, WEST HEMPSTEAD, NY 11552-3902
(516) 536-7603
Mailing address
914 PINELAKE DR, WEST HEMPSTEAD, NY 11552-3902
(516) 536-7603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021057-1
NY
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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