| Doctor Name: | BONNIE M PIASCYK |
| NPI Number: | 1669458139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 000805 |
| Business Practice Address: | 67 Masonic Ave 1st Floor Wallingford, CT - 064923095 |
| Business Phone Number: | 2032655720 |
| Business Fax Number: | 2036795623 |
| Mailing Address: | 67 Masonic Ave, 1st Floor WALLINGFORD |
| State: | CT |
| Postal Code: | 064923095 |
| Phone Number: | 2032655720 |
| Fax Number: | 2036795623 |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 12/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 000805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |