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Individual

DR. MARJORIE BONHOMME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
522 ALICIA DR, WESTBURY, NY 11590-1311
(502) 767-2420
Mailing address
400 KARIN LN, HICKSVILLE, NY 11801-5352
(844) 522-8847

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
BONHM1
NY
247ZC0005X
Clinical Laboratory Director (Non-physician)
DRH 102
CA
247ZC0005X
Clinical Laboratory Director (Non-physician)
MTC 742
CA

Other

Enumeration date
12/08/2011
Last updated
07/25/2024
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