Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Marie Bonner, MSED

Individual provider Specialist · NPI 1073104477

Jennifer Marie Bonner, MSED is a Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

4302 New Utrecht Ave
Brooklyn, NY 11219-1831
Phone: (718) 686-9600
Fax: (718) 686-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1441986201 (NY)

Record details

NPI number1073104477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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