IndividualActive
Alex Bondarenko
NPI 1861267122 · Radiologic Technologist · Staten Island, NY
Provider details
- NPI number
- 1861267122
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RI335908 (NY)
Mailing address
18 Opal Ln
Staten Island, NY 10309-2827
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.