Individual
LOURDES BONDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-2000
Mailing address
PO BOX 5807, NEW YORK, NY 10087-5807
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
128479-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00237678
—
NY
Enumeration date
06/30/2005
Last updated
11/15/2010
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