Individual
BONNIE J SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CONWAY CT, TROY, NY 12180-2108
(518) 274-6525
(518) 274-6511
Mailing address
27 TATTERSALL LN, ALBANY, NY 12205-4017
(518) 274-6525
(518) 274-6511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
292094
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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