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

Primary practice address
14 Grove St Middletown NY 10940
Phone: (845) 563-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1942479027 NPPES
New York MEDICAID 04549579

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