Vincent Paul Bonura, DPT | |
150 Bay Shore Road, North Babylon, NY 11703-1711 | |
(631) 586-6616 | |
(631) 586-6617 |
Full Name | Vincent Paul Bonura |
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Gender | Male |
Speciality | Physical Therapist |
Location | 150 Bay Shore Road, North Babylon, 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 |
---|---|---|---|
1184331894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 049387 (New York) | Primary |
Provider Name | Performax Physical Therapy Wellness Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710227715 PECOS PAC ID: 7113152547 Enrollment ID: O20131021000450 |
Mailing Address | Practice Location Address |
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Vincent Paul Bonura, DPT 150 Bay Shore Road, North Babylon, NY 11703-1711 Ph: (631) 586-6616 | Vincent Paul Bonura, DPT 150 Bay Shore Road, North Babylon, NY 11703-1711 Ph: (631) 586-6616 |
Tania Registre, Physical Therapist Medicare: Medicare Enrolled Practice Location: 159 Deer Lake Dr, North Babylon, NY 11703 Phone: 631-703-7010 | |
Steven Acquavita, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Hughes Ln, North Babylon, NY 11703 Phone: 631-379-3441 | |
Anthony Simon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-6616 | |
Mrs. Irene Berketis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Shipman Ave, North Babylon, NY 11703 Phone: 631-739-7368 | |
Joel Marimuthu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-737-0100 | |
Dr. Reylito Poliquit Pumarada, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Hunter Ave, North Babylon, NY 11703 Phone: 631-669-0415 Fax: 631-669-1455 | |
Armand Diesso, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Bay Shore Rd, North Babylon, NY 11703 Phone: 631-586-6616 Fax: 631-586-6617 |