KRISTIE JANE BONIFAZIO

STONY BROOK, NY
NPI1528745700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  351273)
Enumeration Date2023-06-29
Last Update Date2023-06-29
Business Address
KRISTIE JANE BONIFAZIO FNP
100 NICOLLS RD RM 80
STONY BROOK, NY 11794-0001
Phone number: 631-444-1116
Mailing Address
KRISTIE JANE BONIFAZIO FNP
100 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 516-779-6143