Individual
CHRISTINA BONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
Mailing address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018990
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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