Individual
MR. JAMES JOSEPH BONURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3753
(631) 920-8300
Mailing address
119 PINEWAY AVE, MASTIC BEACH, NY 11951-1218
(631) 767-9780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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