Individual
BONNIE MARRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MAX CT, ISLANDIA, NY 11749-1569
(631) 672-3838
Mailing address
45 MAX CT, ISLANDIA, NY 11749-1569
(631) 672-3838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
668111-1
NY
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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