Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN J BONACCI, PT
Active Sole ProprietorMR. JUSTIN J BONACCI, PT is a Physical Therapy Assistant healthcare provider located in MASTIC, New York. NPI 1700865136 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MASTIC, NY
Registration Details
- NPI Number
- 1700865136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2006 (20.589179336691 yrs)
- Last Updated
- Oct 31, 2017
- License
-
017345-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1636 MONTAUK HWYSTE 4MASTIC, NY, 119503016Browse NY providers · Browse ZIP 11950
- Phone
- 6313990007
- Fax
- 6313992992
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MASTIC, NY
| Name | Credential | NPI |
|---|---|---|
| CATHIE ELLEN SIMON | PT | 1851371140 |
| MS. ERIKA VOTRUBA | DPT | 1114907318 |
| JILL MANDEL | — | 1023614013 |
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.