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MRS. JACLYN MARIE BONVENTRE
NPI 1114361219
Specialist in Center Moriches, NY

Active since April 20, 2013
18 CYNTHIA LN, CENTER MORICHES, NY 11934(631) 909-2065 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jaclyn Marie Bonventre NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACLYN MARIE BONVENTRE (NPI 1114361219) is an individual specialist in Center Moriches, New York, licensed in New York (484461041) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1114361219
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JACLYN MARIE BONVENTRE
Location Address18 CYNTHIA LNCenter Moriches, NY 11934-2602
Mailing Address18 Cynthia LnCenter Moriches, NY 11934-2602 · (631) 909-2065
Phone(631) 909-2065
Sole ProprietorNo
Enumeration DateApril 20, 2013
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1114361219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 484461041
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18 CYNTHIA LN, Center Moriches, NY 11934
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Bonventre's NPI number?

The NPI number for Jaclyn Bonventre is 1114361219. It was assigned to this individual provider in the NPPES registry on April 20, 2013.

Where is Jaclyn Bonventre located?

Jaclyn Bonventre practices at 18 Cynthia Ln, Center Moriches, NY 11934. The listed phone number is (631) 909-2065.

What is Jaclyn Bonventre's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Bonventre was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.