Individual
ANNE MARIE BONIFATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 S OYSTER BAY RD STE 100, HICKSVILLE, NY 11801-3500
(516) 933-1717
Mailing address
400 S OYSTER BAY RD STE 100, HICKSVILLE, NY 11801-3500
(516) 984-0730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031722
NY
Other
Enumeration date
04/03/2024
Last updated
04/17/2024
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