Individual provider · Type 1 NPI

Hollan Beth Bonjukian, CPT, CNC, BA

Specialist · Averill Park, NY

NPI number 1376809079 Active

Practice location

36 Whitney Dr
Averill Park, NY 12018-3754

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XNone listed
Specialist Primary 174400000XNone listed
Health Educator 174H00000XNone 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 1376809079

Hollan Beth Bonjukian, CPT, CNC, BA's National Provider Identifier is 1376809079, issued on Apr 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Averill Park, NY. The record was last updated on Apr 6, 2012.