Ganz-Bonhurst, Haidee Rae

Ganz-Bonhurst, Haidee Rae is an individual health care provider with primary practice located at 50 Route 111 Suite 103, Smithtown NY 11787-3700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ganz-Bonhurst, Haidee Rae can be contacted via phone (631) 360-0723.

Contact Information

Primary practice address
50 Route 111 Suite 103 Smithtown NY 11787-3700
Phone: (631) 360-0723
Fax: (631) 360-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 010927-1 New York

Profile Details

NPI number 1922058981
LBN Legal business name Ganz-Bonhurst, Haidee Rae
Credentials DPT, M.S.,A.T.,C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922058981 NPPES
New York Other 0003850 INDEPENDENT HEALTH
New York Other 0510681 INDEPENDENT HEALTH
New York Other 77273 INDEPENDENT HEALTH
New York Other 34501 INDEPENDENT HEALTH
New York Other 6601841 INDEPENDENT HEALTH
New York Other ANC1171 INDEPENDENT HEALTH
New York Other 129689P INDEPENDENT HEALTH
New York Other 970302 INDEPENDENT HEALTH
New York Other AZ00431A INDEPENDENT HEALTH

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