Individual
LAUREN BONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 LANDING MEADOW RD, SMITHTOWN, NY 11787-1100
(631) 626-6377
Mailing address
156 LANDING MEADOW RD, SMITHTOWN, NY 11787-1100
(631) 626-6377
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708
DONT HAVE
—
Enumeration date
04/01/2021
Last updated
04/01/2021
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