LISA MARIE BONVINO

PATCHOGUE, NY
NPI1376617944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  223033)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Dr. LISA MARIE BONVINO DO
101 HOSPITAL RD
PATCHOGUE, NY 11772-4870
Phone number: 631-447-3048
Mailing Address
Dr. LISA MARIE BONVINO DO
21 INGELORE CT
SMITHTOWN, NY 11787-1705
Phone number: 631-724-4859
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