Individual
MRS. KATHLEEN A BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER-VISION
Contact information
Practice address
1553 E 53RD ST, BROOKLYN, NY 11234-3927
(718) 951-8196
Mailing address
1553 EAST 53 STREET, BROOKLYN, NY 11234
(718) 951-8196
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
213105
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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