Provider Demographics
NPI:1528555117
Name:BONDOC, CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:BONDOC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1010 ROUTE 112 STE 300
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-3386
Mailing Address - Country:US
Mailing Address - Phone:631-364-9119
Mailing Address - Fax:877-728-4714
Practice Address - Street 1:6080 JERICHO TPKE STE 100
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2808
Practice Address - Country:US
Practice Address - Phone:631-364-9119
Practice Address - Fax:888-251-1092
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3231272084N0400X
MA2914032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology