Individual
MRS. BUKONOLA SIDIKAT SIMAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14E ROXY PL, LYNBROOK, NY 11563-2951
(516) 551-8983
(516) 551-8983
Mailing address
14E ROXY PL, LYNBROOK, NY 11563-2951
(516) 551-8983
(516) 551-8983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
747888
NY
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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