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Bonny Alphonso Pongnon
NPI 1780432104 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3512 Church Ave
Brooklyn, NY 11203 - Phone
- (917) 750-9348
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 171400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York