Individual
MS. BONNIE MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 SAW MILL RIVER RD, ARCS, HAWTHORNE, NY 10532-1535
(914) 345-8888
Mailing address
40 SAW MILL RIVER RD, ARCS, HAWTHORNE, NY 10532-1535
(914) 345-8888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177005-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200741
HEALTHNET
NY
01
—
400177005NY01
ANTHEM
NY
Enumeration date
01/09/2007
Last updated
10/16/2007
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