Basic Information
| Provider Information | |||||||||
| NPI: | 1174769889 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAJUSTE-BONHEUR | ||||||||
| FirstName: | ROSE | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 BAKER AVE # 100 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126011359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454541942 | ||||||||
| FaxNumber: | 8454524638 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 BAKER AVE # 100 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126011359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454541942 | ||||||||
| FaxNumber: | 8454524638 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2008 | ||||||||
| LastUpdateDate: | 12/30/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SX0200X | F335638-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Oncology |
No ID Information.