Individual provider · Type 1 NPI

Mary Bonomi

Licensed Practical Nurse · Warwick, NY

NPI number 1366891301 Active

Practice location

26 Ketchum Rd
Warwick, NY 10990-4222

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X315265-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366891301

Mary Bonomi's National Provider Identifier is 1366891301, issued on Jun 9, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Warwick, NY. The record was last updated on Jun 9, 2016.