Individual
MS. BONITA ANNE BANSKY-DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
4513 VESTAL RD, VESTAL, NY 13850-3571
(607) 760-3358
Mailing address
108 MURRAY ST, BINGHAMTON, NY 13905-3707
(607) 723-4997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
054380-1 R
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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