Individual
BONNIE A LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
1700 WALKER LAKE ONTARIO RD, HILTON, NY 14468-9161
(585) 964-7622
(585) 425-5295
Mailing address
1700 WALKER LAKE ONTARIO RD, HILTON, NY 14468-9161
(585) 964-7622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332123-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02128054
—
NY
Enumeration date
06/14/2005
Last updated
07/09/2007
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