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Jaclyn Bonventre
NPI 1114361219 · on the registry since 2013
Practice
- Address
- 18 Cynthia Ln
Center Moriches, NY 11934 - Phone
- (631) 909-2065
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-05
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