PATRICK BONACUM

BRENTWOOD, NY
NPI1306729108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-07-29
Last Update Date2025-07-29
Business Address
Mr. PATRICK BONACUM
452 SUFFOLK AVE
BRENTWOOD, NY 11717-4214
Phone number: 631-436-6065
Mailing Address
Mr. PATRICK BONACUM
452 SUFFOLK AVE
BRENTWOOD, NY 11717-4214
Phone number: 631-436-6065
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