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Individual

SAMANTHA BONDARYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2 GRANITE AVE STE 260, MILTON, MA 02186-4381
(617) 369-7136
Mailing address
2 GRANITE AVE, SUITE 260, MILTON, MA 02186-4381
(617) 369-7136

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2280972
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2280972
MA

Other

Enumeration date
08/08/2016
Last updated
10/06/2025
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