Individual
GENNARO R BONFIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
450 MAMARONECK AVE STE 200, HARRISON, NY 10528-2430
(800) 321-9999
Mailing address
450 MAMARONECK AVE STE 200, HARRISON, NY 10528-2430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003030
NY
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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