Bonavita, Stephanie Anna

Bonavita, Stephanie Anna is an individual health care provider with primary practice located at 77 N Centre Ave Ste 215 , Rockville Centre NY 11570-3923. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bonavita, Stephanie Anna can be contacted via phone (631) 363-5794.

Contact Information

Primary practice address
77 N Centre Ave Ste 215 Rockville Centre NY 11570-3923
Phone: (631) 363-5794
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 027804 New York

Profile Details

NPI number 1043051683
LBN Legal business name Bonavita, Stephanie Anna
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 2024 - 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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