Individual
BONNIE JEAN GRECZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2448 US ROUTE 11, LA FAYETTE, NY 13084-9584
(315) 677-3009
Mailing address
2448 US ROUTE 11, LA FAYETTE, NY 13084-9584
(315) 677-3009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
199437-1
NY
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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