DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY STEPHEN BONISTALLI, AU.D.

Active

DR. GREGORY STEPHEN BONISTALLI, AU.D. is a Audiologist healthcare provider located in OCEANSIDE, New York. NPI 1508419771 is currently active in the NPPES registry. Verify at CMS.

Audiologist · OCEANSIDE, NY

Registration Details

NPI Number
1508419771
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2019 (7.0772678999803 yrs)
Last Updated
Feb 9, 2022
Licenses
14000057896 (NY)
15000057896 (NY)
002865 (NY)

Practice Information

Address
3181 LONG BEACH RD
OCEANSIDE, NY, 115724107
Browse NY providers · Browse ZIP 11572
Phone
5162082000
Fax
5162082004
Primary Specialty
Audiologist
231H00000X
Additional Specialty
Audiologist

Other Audiologist Providers in OCEANSIDE, NY

Name Credential NPI
NICOLE GIESEN AU.D 1356827497
AVERY BONAVITA AUD 1073152880
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.