Individual
MS. BONNIE COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-6500
(315) 462-6731
Mailing address
2 COULTER ROAD, CLIFTON SPRINGS, NY 14432
(315) 462-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3321140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207226BJ
PREFERRED CARE
—
01
—
RB6139
PTAN
NY
01
—
RB6139
MEDICARE
—
Enumeration date
01/16/2007
Last updated
04/09/2008
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