Individual
CHRISTINE BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 LITTLE NECK RD, CENTERPORT, NY 11721-1146
(631) 355-0159
Mailing address
246 LITTLE NECK RD, CENTERPORT, NY 11721-1146
(631) 355-0159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341793-1
NY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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