Bonasia, Amanda Michelle

Bonasia, Amanda Michelle is an individual health care provider with primary practice located at 9 Derby Pl , Kings Park NY 11754-5107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bonasia, Amanda Michelle can be contacted via phone (631) 338-2433.

Contact Information

Primary practice address
9 Derby Pl Kings Park NY 11754-5107
Phone: (631) 338-2433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310923 New York

Profile Details

NPI number 1952024069
LBN Legal business name Bonasia, Amanda Michelle
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952024069 NPPES
New York Other 310923 NYS NP LICENSE

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