Mrs. Jaclyn Marie Bonventre
Mrs. Jaclyn Marie Bonventre is a Specialist in Center Moriches, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
18 Cynthia LnCenter Moriches, NY 11934-2602
Phone: (631) 909-2065
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 484461041 (NY) |
|---|
Record details
| NPI number | 1114361219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 20, 2013 |
| Last updated in NPPES | September 5, 2013 |
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