Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 258734 | NY |
NPI | 1952610701 |
---|---|
Provider Name | Annemarie Bonawitz-Dodi |
First Address | Nyack, NY 10960-4513 |
Second Address | Wappingers Falls, NY 12590-6493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 21/07/2020 |