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1528745700
KRISTIE JANE BONIFAZIO
STONY BROOK, NY
NPI
1528745700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351273)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
KRISTIE JANE BONIFAZIO FNP
100 NICOLLS RD RM 80
STONY BROOK, NY 11794-0001
Phone number: 631-444-1116
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Mailing Address
KRISTIE JANE BONIFAZIO FNP
100 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 516-779-6143
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