Healthcare Provider Details

I. General information

NPI: 1376696716
Provider Name (Legal Business Name): CONSTANCE SK BOND MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 AMSTERDAM AVE
NEW YORK NY
10031-4611
US

IV. Provider business mailing address

116 PINEHURST AVE APT. J62
NEW YORK NY
10033-1755
US

V. Phone/Fax

Practice location:
  • Phone: 212-694-9200
  • Fax: 212-368-5608
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: