Bondoc, Lourdes

Bondoc, Lourdes is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bondoc, Lourdes can be contacted via phone (718) 226-2000.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 128479-1 New York

Profile Details

NPI number 1851398325
LBN Legal business name Bondoc, Lourdes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851398325 NPPES
New York MEDICAID 00237678

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