Gildea, Bonnie Lynn

Gildea, Bonnie Lynn is an individual health care provider with primary practice located at 50 W Hawthorne Ave , Valley Stream NY 11580-6220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gildea, Bonnie Lynn can be contacted via phone (516) 569-6600.

Contact Information

Primary practice address
50 W Hawthorne Ave Valley Stream NY 11580-6220
Phone: (516) 569-6600
Fax: (516) 374-2261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400429-1 New York

Profile Details

NPI number 1255400271
LBN Legal business name Gildea, Bonnie Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated May 15th, 2012 - about 12 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 1255400271 NPPES
New York MEDICAID 02529986

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