Bonacore, Laura Beth
Bonacore, Laura Beth is an individual health care provider with primary practice located at 14 Grove St , Middletown NY 10940. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bonacore, Laura Beth can be contacted via phone (845) 563-8000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 702003 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F382626 | New York |
Profile Details
NPI number | 1942479027 |
---|---|
LBN Legal business name | Bonacore, Laura Beth |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2008 |
Last updated | Aug 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942479027 | NPPES |
New York | MEDICAID | 04549579 |
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