NPI 1629356266

Devin M Bonura, PAC

Practitioner Medical Physician Assistant North Babylon, NY

Practice location

Address: 1231 Deer Park Ave, North Babylon, NY 11703-3104
Phone: (631) 667-0388
Fax: (631) 968-7705

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 014958 (NY)

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Registry record

NPI: 1629356266
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2011
Record last updated: 15 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.