Search › New York › 111N00000X
Gregory Bonasera, DC
NPI 1841374352 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1041 Route 112
Port Jefferson Station, NY 11776 - Phone
- (631) 828-4545
- Fax
- (631) 642-1070
- Organisation at this address
- M & A Wellness Corporation
Community Medical Wellness Pc
South Shore Wellness Physical Therapy PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York