Individual
MR. ROCCO JOHN BONAVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
28 JETMORE PL, MASSAPEQUA, NY 11758-7812
(917) 723-8278
Mailing address
28 JETMORE PL, MASSAPEQUA, NY 11758-7812
(917) 723-8278
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004275-1
NY
171100000X
Acupuncturist
00427501
NY
Other
Enumeration date
01/27/2010
Last updated
08/31/2023
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