Organization
BONNIE J WOLNIAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE WOLNIAK (REGISTERED NURSE)
(315) 622-4055
Entity
Organization
Contact information
Practice address
7 TREE LINE DR, LIVERPOOL, NY 13090-3032
(315) 622-4055
Mailing address
7 TREE LINE DR, LIVERPOOL, NY 13090-3032
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
407331-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449889
—
NY
Enumeration date
06/19/2007
Last updated
06/13/2008
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