Individual
MARIA ANN BAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
23 CAROL AVE, FARMINGVILLE, NY 11738-1470
(631) 335-3130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311415
NY
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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