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Jaclyn Bonnici

Speech-Language Pathologist, in Ridgewood, NY. Individual provider (NPI-1).

NPI number1982147666
StatusActive
Last updated in NPPESNov 29, 2016

Details

NPI
1982147666
Entity type
Individual (NPI-1)
Name
Jaclyn Bonnici
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2016
Last updated
Nov 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,023746NYYes

Practice location

1666 Hancock St
Ridgewood, NY 11385-4727

Phone 718-456-7588

Mailing address

1666 Hancock St
Ridgewood, NY 11385-4727

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