Individual
ALEX BONDARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 OPAL LN, STATEN ISLAND, NY 10309-2827
(614) 404-4044
Mailing address
18 OPAL LN, STATEN ISLAND, NY 10309-2827
(614) 404-4044
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RI335908
NY
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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