Individual
BONNIE C PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
447 MILL RD, CORAM, NY 11727-4137
(631) 732-3699
Mailing address
447 MILL RD, CORAM, NY 11727-4137
(631) 732-3699
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338843
NY
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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