Bonvino, Lisa Marie

Bonvino, Lisa Marie is an sole proprietor health care provider with primary practice located at 101 Hospital Rd , Patchogue NY 11772-4870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bonvino, Lisa Marie can be contacted via phone (631) 447-3048.

Contact Information

Primary practice address
101 Hospital Rd Patchogue NY 11772-4870
Phone: (631) 447-3048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 223033 New York

Profile Details

NPI number 1376617944
LBN Legal business name Bonvino, Lisa Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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