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1699101485
MARYELLEN DOROTHY BONITO
NEW YORK, NY
NPI
1699101485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 8307164)
Enumeration Date
2013-09-24
Last Update Date
2013-09-25
Business Address
Ms. MARYELLEN DOROTHY BONITO PA
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
Ms. MARYELLEN DOROTHY BONITO PA
351 WOODHOUSE AVE
WALLINGFORD, CT 06492-5413
Phone number: 203-605-8857
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