Individual
CAROL BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
22121 CORBETT RD, BAYSIDE, NY 11361-2242
(718) 225-8667
(718) 225-9694
Mailing address
22121 CORBETT RD, BAYSIDE, NY 11361-2242
(718) 225-8667
(718) 225-9694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
493457
NY
163WS0200X
School Registered Nurse
Primary
493457
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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