Active NPIIndividual provider

Mary Bonomi

Licensed Practical Nurse in Warwick, New York

NPI Number1366891301
Practice location
26 Ketchum RD, Warwick, NY 10990-4222
Fax
—
Last updated
June 9, 2016

Mary Bonomi is a Licensed Practical Nurse based in Warwick, NY. Mary Bonomi practices in Warwick, NY. The NPI Number for Mary Bonomi is 1366891301 and holds a License No. 315265-1 (NY). The current practice location address for Mary Bonomi is 26 Ketchum RD, Warwick, NY 10990-4222 and can be reached out via phone at 845-665-2919.

Provider Profile Details

NPI Number
1366891301
Provider Name
Mary Bonomi
Provider Entity Type
Individual
Gender
Female
Address
26 Ketchum RD, Warwick, NY 10990-4222
Phone Number
845-665-2919
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2016
Last Update Date
June 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Ketchum RD
Warwick, NY 10990-4222
Zip
10990-4222
Phone Number
845-665-2919
Warwick, NY 10990Get directions →

Provider Business Mailing Address Details

Address
26 Ketchum RD
Warwick, NY 10990-4222
City
Warwick
State
NY
Zip
10990-4222
Phone Number
845-665-2919

License Information

License Number
315265-1
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Bonomi?

The NPI number of Mary Bonomi is 1366891301. It was assigned on June 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Mary Bonomi?

Mary Bonomi is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 315265-1.

Where does Mary Bonomi practice?

The practice location is 26 Ketchum RD, Warwick, NY 10990-4222. The office can be reached at 845-665-2919 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366891301 directly on the NPPES registry website.

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