Provider Demographics
NPI:1528881927
Name:BONAPARTE, CHYNIA SALAY
Entity type:Individual
Prefix:
First Name:CHYNIA
Middle Name:SALAY
Last Name:BONAPARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E ELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1805
Mailing Address - Country:US
Mailing Address - Phone:215-201-7861
Mailing Address - Fax:
Practice Address - Street 1:321 E ELWOOD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1805
Practice Address - Country:US
Practice Address - Phone:215-201-7861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver