Individual
MR. CHARLES A BONERBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
168 W 86TH ST, SUITE 1 D, NEW YORK, NY 10024-4022
(917) 539-2032
Mailing address
4315 WEBSTER AVE, APT 1F, BRONX, NY 10470-2358
(917) 539-2032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-039863-1
NY
Other
Enumeration date
01/22/2007
Last updated
10/22/2014
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