Provider Demographics
NPI:1750173738
Name:BONHOMME, JANNY (MEDICAL EQUIPMENT)
Entity type:Individual
Prefix:
First Name:JANNY
Middle Name:
Last Name:BONHOMME
Suffix:
Gender:F
Credentials:MEDICAL EQUIPMENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 ROCKAWAY PKWY
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3414
Mailing Address - Country:US
Mailing Address - Phone:800-486-0447
Mailing Address - Fax:
Practice Address - Street 1:256 ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3414
Practice Address - Country:US
Practice Address - Phone:800-486-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies