Individual
KEVIN BONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
225 BROADWAY, NEW YORK, NY 10007-3001
(201) 482-8272
Mailing address
552 BROADWAY, NEW YORK, NY 10012-3922
(212) 373-7383
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002630
NY
Other
Enumeration date
03/20/2017
Last updated
10/11/2018
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