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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACLYN MARIE BONVENTRE

Active

Specialist · CENTER MORICHES, NY

Registration Details

NPI Number
1114361219
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2013 (13.034962544528 yrs)
Last Updated
Sep 5, 2013
License
484461041 (NY)

Practice Information

Address
18 CYNTHIA LN
CENTER MORICHES, NY, 119342602
Browse NY providers · Browse ZIP 11934
Phone
6319092065
Primary Specialty
Specialist
174400000X

Other Specialist Providers in CENTER MORICHES, NY

Name Credential NPI
DR. ALEXANDER COVEY M.D. 1598839532
DR. ALAN COVEY M.D. 1386719144
PRAMOD BHANTI PT 1568650935
MS. AMANDA LOREE BOWCOCK LMHC 1396984811
MRS. CYNTHIA LYN PANTOL MASTERS 1588927677
REBECCA DONOVAN 1568862803
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.