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Mrs. Jaclyn Marie Bonventre
Specialist in Center Moriches, New York
NPI 1114361219

Jaclyn Marie Bonventre is a Specialist based in Center Moriches, NY. Jaclyn Marie Bonventre practices in Center Moriches, NY. The NPI Number for Jaclyn Marie Bonventre is 1114361219 and holds a License No. 484461041 (New York).

The current practice location address for Jaclyn Marie Bonventre is 18 Cynthia Ln, Center Moriches, NY and can be reached out via phone at 631-909-2065.

Location: 18 Cynthia Ln, Center Moriches, NY, 11934-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114361219
Provider Name
Jaclyn Marie Bonventre
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 Cynthia Ln, Center Moriches, NY, 11934-2602
Phone Number
631-909-2065
Fax Number
Provider Enumeration Date
04/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18 Cynthia Ln
City
Center Moriches
State
New York
Zip
11934-2602
Phone Number
631-909-2065
Fax Number
person
Provider Business Mailing Address Details
Address
18 Cynthia Ln
City
Center Moriches
State
New York
Zip
11934-2602
Phone Number
631-909-2065
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
484461041 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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