Individual
MRS. RACHELE LYNNE BONGIOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED
Contact information
Practice address
4 PRIVATE ROAD, REMSENBURG, NY 11960
(631) 325-0607
Mailing address
4 PRIVATE ROAD, REMSENBURG, NY 11960
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
07/24/2019
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