DR. MARJORIE BONHOMME (NPI# 1841568524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841568524 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE BONHOMME |
| Other Name | DR. MARJORIE BONHOMME |
| Credential | PHD |
| Practice Address |
522 Alicia Dr Westbury NY 11590-1311 |
| Practice Telephone | 5027672420 |
| Mailing Telephone | 5027672420 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
MTC 742 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
DRH 102 | CA | Technologists, Technicians & Other Technical Service Providers |
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
BONHM1 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
522 ALICIA DR |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1083075212 | Kenneth Ihenetu | Pathology | 785 Delaware Ave Fl 1, Delmar, NY 12054-9713 | 2016-03-16 |
| 1780050815 | Lars Frederick Westblade | Pathology | Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065-7940 | 2015-08-12 |
| 1962843482 | Yeshpal S Chauhan | Pathology | 140 58th St Ste A, Unit 3l, Brooklyn, NY 11220-2539 | 2013-07-12 |
| 1588001317 | William John Closson | Pathology | 179 Jayne Ave, Patchogue, NY 11772-2836 | 2013-06-03 |
| 1265781504 | Yan Zhang | Pathology | 601 Elmwood Ave Box 608, Rochester, NY 14642-0001 | 2012-08-31 |
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| 1487822375 | Foroozan Mokhtarian | Pathology | Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 | 2008-02-14 |
| 1356948392 | Magda F. Baskharoun-guirguis | Pathology | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-10-02 |
| 1619599859 | Bing Su | Pathology | 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.