Individual provider · Type 1 NPI

Gregory N. Bonasera, DC

Chiropractor · Port Jefferson Station, NY

NPI number 1841374352 Active

Practice location

1041 Route 112
Port Jefferson Station, NY 11776-6000

Fax (631) 642-1070

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX005301 (NY)

Chiropractor: 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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About NPI 1841374352

Gregory N. Bonasera, DC's National Provider Identifier is 1841374352, issued on Oct 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Nov 14, 2018.