Active NPIIndividual provider

Dr. Lisa M Bonaviso

Counselor, Mental Health in Hartsdale, New York

NPI Number1093359564
Practice location
280 N Central Ave Ste 309, Hartsdale, NY 10530-1839
Fax
—
Last updated
May 5, 2023

Lisa Maria Bonaviso is a Counselor, Mental Health based in Hartsdale, NY. Lisa Maria Bonaviso practices in Hartsdale, NY. The NPI Number for Lisa Maria Bonaviso is 1093359564 and holds a License No. 011641 (NY). The current practice location address for Lisa Maria Bonaviso is 280 N Central Ave Ste 309, Hartsdale, NY 10530-1839 and can be reached out via phone at 914-471-5516.

Provider Profile Details

NPI Number
1093359564
Provider Name
Lisa Maria Bonaviso
Provider Entity Type
Individual
Gender
Female
Address
280 N Central Ave Ste 309, Hartsdale, NY 10530-1839
Phone Number
914-471-5516
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2019
Last Update Date
May 5, 2023
Certification Date
May 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 N Central Ave Ste 309
Hartsdale, NY 10530-1839
Zip
10530-1839
Phone Number
914-471-5516
Hartsdale, NY 10530Get directions →

Provider Business Mailing Address Details

Address
12 Fawn Ln
Armonk, NY 10504-1126
City
Armonk
State
NY
Zip
10504-1126
Phone Number
914-471-5516

License Information

License Number
011641
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lisa M Bonaviso?

The NPI number of Dr. Lisa M Bonaviso is 1093359564. It was assigned on October 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa M Bonaviso?

Dr. Lisa M Bonaviso is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 011641.

Where does Dr. Lisa M Bonaviso practice?

The practice location is 280 N Central Ave Ste 309, Hartsdale, NY 10530-1839. The office can be reached at 914-471-5516 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093359564 directly on the NPPES registry website.

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