Individual
BONNY A BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3314 BUFFALO ST, ALEXANDER, NY 14005-9701
(585) 591-1551
(585) 591-4713
Mailing address
1892 SHARRICK RD, DARIEN CENTER, NY 14040-9718
(585) 547-9271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
423595
NY
163WS0200X
School Registered Nurse
Primary
423595
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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