Individual
BRITTANY BONAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2965 VETERANS RD W STE A, STATEN ISLAND, NY 10309-2516
(718) 874-1012
Mailing address
981 US HIGHWAY 22 FL 2, BRIDGEWATER, NJ 08807-2946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043671
NY
225100000X
Physical Therapist
40QA01813500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40QA01813500
—
NJ
Enumeration date
09/12/2018
Last updated
07/12/2024
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