Mr Justin J Bonacci, PT | |
1636 Montauk Hwy, Ste 4, Mastic, NY 11950-3016 | |
(631) 399-0007 | |
(631) 399-2992 |
Full Name | Mr Justin J Bonacci |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 1636 Montauk Hwy, Mastic, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700865136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 017345-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spagnoli Physical Therapy Pc | 1254595200 | 10 |
Provider Name | Spagnoli Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386624237 PECOS PAC ID: 1254595200 Enrollment ID: O20120604000410 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin J Bonacci, PT 4 Quincy St, Port Jefferson Station, NY 11776-3420 Ph: (631) 467-4235 | Mr Justin J Bonacci, PT 1636 Montauk Hwy, Ste 4, Mastic, NY 11950-3016 Ph: (631) 399-0007 |
Jill Mandel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1636 Montauk Hwy, Mastic, NY 11950 Phone: 631-399-0007 | |
Ms. Erika Votruba, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1636 Montauk Hwy, Mastic, NY 11950 Phone: 631-399-0007 | |
Cathie Ellen Simon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1133 Montauk Hwy, Mastic, NY 11950 Phone: 631-467-4235 Fax: 631-467-2655 | |
Dawn Marie Farrell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Van Buren St, Mastic, NY 11950 Phone: 631-399-0114 |