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NPI Code Detail

MEDICARE: MS. NICOLE BONDI LCSW-R

MEDICARE:  MS. NICOLE  BONDI  LCSW-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker081043NY

General Provider Information

NPI Number : 1851827182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE BONDI LCSW-R
Provider Business Mailing Address
First Line : 132 ALLENS CREEK RD
Second Line : STE 220
City : ROCHESTER
State : NY
Zip : 14618-3310
Country : US
Telephone Number : 585-642-1709
Fax Number :
Provider Business Practice Location Address
First Line : 132 ALLENS CREEK RD
Second Line : STE 220
City : ROCHESTER
State : NY
Zip : 14618-3310
Country : US
Telephone Number : 585-642-1709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 03/03/2024

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Directions to “ MS. NICOLE BONDI LCSW-R” Practice Location

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