Dr Alysia Marie Bonvino, DDS is a
Dentist - General Practice based in Lafayette, New York. Dr Alysia Marie Bonvino is licensed to practice in New York (license number 048093) and her current practice location is
2509 Rt 11, Maher Building, Lafayette, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 677-3113.
NPI number for Dr Alysia Marie Bonvino is 1760719124 and her current mailing address is Po Box 259, Lafayette, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760719124.
Healthcare Provider's Profile
| Full Name | Dr Alysia Marie Bonvino |
|---|
| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 2509 Rt 11, Lafayette, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760719124
- Provider Enumeration Date: 11/05/2009
- Last Update Date: 11/05/2009
Medical Identifiers
Medical identifiers for Dr Alysia Marie Bonvino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760719124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 048093 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alysia Marie Bonvino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alysia Marie Bonvino, DDS
Po Box 259,
Lafayette, NY 13084
Ph: (315) 677-3113 | Dr Alysia Marie Bonvino, DDS
2509 Rt 11, Maher Building,
Lafayette, NY 13084-9739
Ph: (315) 677-3113 |
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