| Marcela A Bonafina-caraccioli Phd | |
|
2109 Broadway Suite 520 New York NY 10023 | |
| (212) 579-7272 | |
| (212) 579-2851 |
| Full Name | Marcela A Bonafina-caraccioli Phd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2109 Broadway, New York, New York |
| Authorized Official Name and Position | Marcela Andrea Bonafina-caraccioli (PRESIDENT OF PC) |
| Authorized Official Contact | 2125797272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcela A Bonafina-caraccioli Phd 2109 Broadway Suite 520 New York NY 10023 Ph: (212) 579-7272 | Marcela A Bonafina-caraccioli Phd 2109 Broadway Suite 520 New York NY 10023 Ph: (212) 579-7272 |
| NPI Number | 1831109503 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831109503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0160781 (New York) | Primary |
| 103T00000X | Psychologist | P160781 (New York) | Secondary |
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