Provider Demographics
NPI:1063463479
Name:SCHAUB, BONNEY GULINO (MS, APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:BONNEY
Middle Name:GULINO
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:MS, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MURRAY CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3647
Mailing Address - Country:US
Mailing Address - Phone:631-673-0293
Mailing Address - Fax:
Practice Address - Street 1:2 MURRAY CT
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3647
Practice Address - Country:US
Practice Address - Phone:631-673-0293
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283081-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health