Bonura, Joanna Rose

Bonura, Joanna Rose is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1968. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bonura, Joanna Rose can be contacted via phone (631) 474-6981.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1968
Phone: (631) 474-6981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 35008 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 015906 New York

Profile Details

NPI number 1528624665
LBN Legal business name Bonura, Joanna Rose
Credentials LMHC, CASAC-2
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2019
Last updated Apr 8th, 2025 - about last year

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 1528624665 NPPES
New York Other 015906 THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
New York Other 35008 THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT

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