Individual
BONNIE J. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
68 WOODLAND AVE., STATEN ISLAND, NY 10308-1540
(718) 948-4768
Mailing address
68 WOODLAND AVE., STATEN ISLAND, NY 10308-1540
(718) 948-4768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
416401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02391871
—
NY
Enumeration date
04/10/2007
Last updated
07/09/2007
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