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Bonny Zuckerberg

NPI 1790323830 · on the registry since 2019 · sole proprietor

Practice

Address
1116 Neilson St
Far Rockaway, NY 11691
Phone
(917) 692-6864

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-24

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