| Vincent Paul Bonura, DPT | |
|
150 Bay Shore Road, North Babylon, NY 11703-1711 | |
| (631) 586-6616 | |
| (631) 586-6617 |
| Full Name | Vincent Paul Bonura |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |