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Dr. Gregory N. Bonasera, DC
Chiropractor in Port Jefferson Station, New York
NPI 1841374352

Gregory N. Bonasera is a Chiropractor based in Port Jefferson Station, NY. Gregory N. Bonasera practices in Port Jefferson Station, NY and has the professional credentials of DC. The NPI Number for Gregory N. Bonasera is 1841374352 and holds a License No. X005301 (New York).

The current practice location address for Gregory N. Bonasera is 1041 Route 112, Port Jefferson Station, NY and can be reached out via phone at 631-828-4545 and via fax at 631-642-1070.

Location: 1041 Route 112, Port Jefferson Station, NY, 11776-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841374352
Provider Name
Gregory N. Bonasera
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1041 Route 112, Port Jefferson Station, NY, 11776-6000
Phone Number
631-828-4545
Fax Number
631-642-1070
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01738361 05 NY
institution
Provider Business Practice Location Address Details
Address
1041 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-6000
Phone Number
631-828-4545
Fax Number
631-642-1070
person
Provider Business Mailing Address Details
Address
1041 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-6000
Phone Number
631-828-4545
Fax Number
631-642-1070
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X005301 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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