Individual
SCOTT CHRISTOPHER BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PEBBLE LN, DEER PARK, NY 11729-6216
(860) 222-1344
Mailing address
10 PEBBLE LN, DEER PARK, NY 11729-6216
(860) 222-1344
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
250859-1
NY
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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