NPI 1861267122

Alex Bondarenko

Practitioner Radiologic Technologist Staten Island, NY

Practice location

Address: 18 Opal Ln, Staten Island, NY 10309-2827
Phone: (614) 404-4044

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence RI335908 (NY)

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Registry record

NPI: 1861267122
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2023
Record last updated: 16 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.