Individual
BONNIE SUSAN CHINDAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
369 E MAIN ST, BUILDING 2, SUITE 11, EAST ISLIP, NY 11730-2800
(631) 859-9793
(631) 277-4608
Mailing address
369 EAST MAIN STREET, BUILDING 2, SUITE 11, EAST ISLIP, NY 11730-2800
(631) 859-9793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301427-1
NY
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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