Bonistalli, Gregory Stephen

Bonistalli, Gregory Stephen is an individual health care provider with primary practice located at 3181 Long Beach Rd , Oceanside NY 11572-4107. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Bonistalli, Gregory Stephen can be contacted via phone (516) 208-2000.

Contact Information

Primary practice address
3181 Long Beach Rd Oceanside NY 11572-4107
Phone: (516) 208-2000
Fax: (516) 208-2004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 14000057896 New York
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 15000057896 New York
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 002865 New York

Profile Details

NPI number 1508419771
LBN Legal business name Bonistalli, Gregory Stephen
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Feb 9th, 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 1508419771 NPPES
New York MEDICAID 05808177

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