Individual
BONNIE M CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1700
(315) 798-1707
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1700
(315) 798-1707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
331282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02326456
—
NY
Enumeration date
10/04/2005
Last updated
12/28/2009
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