Individual
MRS. DEBRA BONAMASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
34 HENRY AVE, BABYLON, NY 11702-1303
(017) 418-8639
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
139887
NY
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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