Individual
DR. LAURA BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
647 FRANKLIN AVE STE LL4, GARDEN CITY, NY 11530-5746
(516) 798-4070
(516) 798-4070
Mailing address
647 FRANKLIN AVE STE LL4, GARDEN CITY, NY 11530-5746
(516) 798-4070
(516) 798-4070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011068
NY
Other
Enumeration date
11/01/2006
Last updated
02/22/2017
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