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Amanda Michelle Bonasia, A-GNP-C
Adult Health Nurse Practitioner in Kings Park, New York
NPI 1952024069

Amanda Michelle Bonasia is an Adult Health Nurse Practitioner based in Kings Park, NY and is specialized in Adult Health. Amanda Michelle Bonasia practices in Kings Park, NY and has the professional credentials of A-GNP-C. The NPI Number for Amanda Michelle Bonasia is 1952024069 and holds a License No. 310923 (New York).

The current practice location address for Amanda Michelle Bonasia is 9 Derby Pl, Kings Park, NY and can be reached out via phone at 631-338-2433.

Location: 9 Derby Pl, Kings Park, NY, 11754-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952024069
Provider Name
Amanda Michelle Bonasia
Credential
A-GNP-C
Provider Entity Type
Individual
Gender
Female
Address
9 Derby Pl, Kings Park, NY, 11754-5107
Phone Number
631-338-2433
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310923 01 NY NYS NP LICENSE
institution
Provider Business Practice Location Address Details
Address
9 Derby Pl
City
Kings Park
State
New York
Zip
11754-5107
Phone Number
631-338-2433
Fax Number
person
Provider Business Mailing Address Details
Address
9 Derby Pl
City
Kings Park
State
New York
Zip
11754-5107
Phone Number
631-338-2433
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310923 (New York)
Definition
Definition to come...
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