Mrs Bonita L Fredericks, LPN | |
1177 Sumner Rd, Darien Center, NY 14040-9797 | |
(585) 547-9367 | |
Not Available |
Full Name | Mrs Bonita L Fredericks |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1177 Sumner Rd, Darien Center, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518139021 | NPI | - | NPPES |
02705966 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2677331 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Bonita L Fredericks, LPN 1177 Sumner Rd, Darien Center, NY 14040-9797 Ph: (585) 547-9367 | Mrs Bonita L Fredericks, LPN 1177 Sumner Rd, Darien Center, NY 14040-9797 Ph: (585) 547-9367 |
Mrs. Charlene Marie O'brien, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2023 Church Rd, Darien Center, NY 14040 Phone: 585-591-0670 Fax: 585-591-0670 | |
Cynthia Szafarski, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10289 Colby Rd, Darien Center, NY 14040 Phone: 716-949-9359 |