Individual
BONNIE LYNNE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 HIGH SCHOOL DR, PENFIELD, NY 14526-1422
(585) 249-6721
(585) 249-6810
Mailing address
25 HIGH SCHOOL DR, PENFIELD, NY 14526-1422
(585) 249-6721
(585) 249-6810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283656-1
NY
Other
Enumeration date
01/20/2011
Last updated
09/30/2011
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