Individual
JANICE BONSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CONCOURSE VLG W, 16D, BRONX, NY 10451-3607
(347) 886-4855
Mailing address
800 CONCOURSE VLG W, 16D, BRONX, NY 10451-3607
(347) 886-4855
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
72-091184
NY
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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