Bonura, Devin M

Bonura, Devin M is an individual health care provider with primary practice located at 1231 Deer Park Ave , North Babylon NY 11703-3104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bonura, Devin M can be contacted via phone (631) 667-0388.

Contact Information

Primary practice address
1231 Deer Park Ave North Babylon NY 11703-3104
Phone: (631) 667-0388
Fax: (631) 968-7705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014958 New York

Profile Details

NPI number 1629356266
LBN Legal business name Bonura, Devin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Jun 15th, 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 1629356266 NPPES
New York MEDICAID 4248266

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