Jacqueline Bonamassa
Jacqueline Bonamassa is a Student in an Organized Health Care Education/Training Program in West Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1000 Montauk HwyWest Islip, NY 11795-4927
Phone: (347) 277-7500
Fax: (631) 376-3420
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1528813375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
| Mailing address | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
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