Michelle Marie Bongiovanni
NPI #1801132394 in Wading River, New York
Provider Information
- NPI Number
- 1801132394
- Entity Type
- Individual
- Name
- Michelle Marie Bongiovanni
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 2, 2013
- Last Updated
- Jan 2, 2013
Practice Location
- Address
- 6324 ROUTE 25A STE 6
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-2019
- Phone
- (631) 886-1989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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