Dr Lisa Marie Bonvino, DO | |
101 Hospital Rd, Patchogue, NY 11772-4870 | |
(631) 447-3048 | |
Not Available |
Full Name | Dr Lisa Marie Bonvino |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 101 Hospital Rd, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376617944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 223033 (New York) | Primary |
Entity Name | The Long Island Home |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
Mailing Address | Practice Location Address |
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Dr Lisa Marie Bonvino, DO 21 Ingelore Ct, Smithtown, NY 11787-1705 Ph: (631) 724-4859 | Dr Lisa Marie Bonvino, DO 101 Hospital Rd, Patchogue, NY 11772-4870 Ph: (631) 447-3048 |
Garrett Joseph Gorrasi, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7283 Fax: 631-447-3715 | |
Dr. Zaiwang Paul Jin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-854-1222 Fax: 631-854-1226 | |
Dr. Frank Wohlsein Telang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 Waverly Ave, Patchogue, NY 11772 Phone: 631-758-6445 Fax: 631-758-6379 | |
Ahmed Elfiky, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Main St, Patchogue, NY 11772 Phone: 631-654-9400 Fax: 631-654-8616 | |
Ali Sayed Aziz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 613-654-7100 | |
Dr. Ronald J Taddeo, MD,, PC Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Dr, Suite H, Patchogue, NY 11772 Phone: 631-447-7560 Fax: 631-447-7561 |