Bonacuso, Michael Thomas

Bonacuso, Michael Thomas is an sole proprietor health care provider with primary practice located at 15 Shadow Ln , East Williston NY 11596-2510. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bonacuso, Michael Thomas can be contacted via phone (516) 384-4354.

Contact Information

Primary practice address
15 Shadow Ln East Williston NY 11596-2510
Phone: (516) 384-4354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1245728013
LBN Legal business name Bonacuso, Michael Thomas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 2018 - about 7 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.

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