Most Relevant Information
Provider Data
| NPI Number: | 1003559758 |
| Provider Name: | DANIELLE MARIE BOVENZI LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 336913-01 |
Most Important Dates
| Enumeration Date: | 04/19/2022 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
2 CHAUNCEY LN
CORAM
NY
117273502
Practice Location Phone/Fax
| Phone: | 6313468794 |
| Fax: |
Provider Mailing Location
2 CHAUNCEY LN
CORAM
NY
117273502
Provider Mailing Phone/Fax
| Phone: | 6313468794 |
| Fax: |