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Individual

BONNIE RUTH SCHAPPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 ALEXANDER ST, BABYLON, NY 11702-1101
(631) 422-6752
Mailing address
55 ALEXANDER ST, BABYLON, NY 11702-1101
(631) 422-6752

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
474415
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01586245
NY
Enumeration date
04/11/2007
Last updated
07/08/2007
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