| Michael Bonomo Phd | |
|
134 Middle Neck Rd Ste 220 Great Neck NY 11021-1218 | |
| (917) 837-5922 | |
| Not Available |
| Full Name | Michael Bonomo Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 134 Middle Neck Rd Ste 220, Great Neck, New York |
| Authorized Official Name and Position | Michael Bonomo (OWNER) |
| Authorized Official Contact | 9178375922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bonomo Phd 134 Middle Neck Rd Ste 220 Great Neck NY 11021-1218 Ph: (917) 837-5922 | Michael Bonomo Phd 134 Middle Neck Rd Ste 220 Great Neck NY 11021-1218 Ph: (917) 837-5922 |
| NPI Number | 1942160114 |
|---|---|
| Provider Enumeration Date | 11/12/2025 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942160114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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