Individual
AUDREY KATE BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686497
NY
363LF0000X
Family Nurse Practitioner
Primary
346105
NY
Other
Enumeration date
10/15/2020
Last updated
12/29/2022
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