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BONNIE SUSAN CHINDAMO NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1639471642

Individual Registrant:
 BONNIE SUSAN CHINDAMO NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
369 E MAIN ST BUILDING 2, SUITE 11 EAST ISLIP, NY 11730-2800 US
Tel: 631-859-9793  Fax: 631-277-4608

Contact information for business:
369 EAST MAIN STREET BUILDING 2, SUITE 11 EAST ISLIP, NY 11730-2800 US
Tel: 631-859-9793  Fax: --

Registration Information:
NPI: 1639471642
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NYF301427-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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