Individual provider · Type 1 NPI
Bonnie M. Krisak
Specialist · Liverpool, NY
NPI number
1023794419
Active
Practice location
8122 Portobello Way
Liverpool, NY 13090-6827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1023794419
Bonnie M. Krisak's National Provider Identifier is 1023794419, issued on Jun 22, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Liverpool, NY. The record was last updated on Jun 22, 2023.