Individual
DR. ANTHONY FRANCES BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
315 ALBERTA DRIVE, SUITE 211, AMHERST, NY 14226
(716) 837-6705
(716) 837-6759
Mailing address
315 ALBERTA DRIVE, SUITE 211, AMHERST, NY 14226
(716) 837-6705
(716) 837-6759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0065581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000508149002
BLUE CROSS BLUE SHIELD
NY
01
—
00052466002
UNIVERA HEALTHCARE
NY
01
—
6104184
INDEPENDENT HEALTH
NY
Enumeration date
11/08/2006
Last updated
07/08/2007
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