Individual
MS. VALERIE BONGIOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
44 RADCLIFF AVE, PORT WASHINGTON, NY 11050-1802
(516) 313-5098
(516) 767-0299
Mailing address
44 RADCLIFF AVE, PORT WASHINGTON, NY 11050-1802
(516) 313-5098
(516) 767-0299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174713
NY
363L00000X
Nurse Practitioner
Primary
F400191
NY
Other
Enumeration date
03/23/2007
Last updated
07/02/2014
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