LISA MARIA BONAVISO (NPI# 1093359564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093359564 |
| Entity Type | Individual |
| Full Name | LISA MARIA BONAVISO |
| Practice Address |
701 Bedford Rd Ste B Bedford Hills NY 10507-1528 |
| Mailing Address |
12 Fawn Ln Armonk NY 10504-1126 |
| Practice Telephone | 9146665100 |
| Mailing Telephone | 9144715516 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P103353 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688 Post Rd Ste 232, Scarsdale, NY 105835015 | 9147255252 |
| Street Address |
701 BEDFORD RD STE B |
| City | BEDFORD HILLS |
| State | NY |
| Zip Code | 10507-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364299 | Bushenhealing and Life Arts, LLC | Acupuncturist | 30 Winding Lane, Bedford Hills, NY 10507 | 2020-01-06 |
| 1942740923 | Jill Dworkin Bazos | Technician, Other | 573 Bedford Rd., 2nd Flr., Bedford Hills, NY 10507 | 2017-02-24 |
| 1497065866 | Divina Gracia Dinglasan Gaspar | Registered Nurse | 43 Rome Avenue, Apt 5a, Bedford Hills, NY 10507 | 2010-10-19 |
| 1457598567 | Care Point Services | Home Health | 182 Rt. 117 Bypass Rd, Bedford Hills, NY 10507 | 2009-01-12 |
| 1548415391 | Lisa C Bruno | Occupational Therapist | 182 Rt. 117 Bybass Rd, Bedford Hills, NY 10507 | 2008-11-20 |
| 1053523118 | Bedford Hills Pediatrics | Pediatrics | 701b North Bedford Road, Bedford Hills, NY 10507 | 2007-05-03 |
| 1336287267 | Sharon Marie Gladman | Licensed Practical Nurse | 208 Harris Road, Bedford Hills, NY 10507 | 2007-02-02 |
| 1033264965 | Nina Angela King | Registered Nurse | 208 Harris Rd, Bedford Hills, NY 10507 | 2007-01-23 |
| 1053412254 | Berton Klein Frank | Social Worker | 185 Adams St, Bedford Hills, NY 10507 | 2006-09-26 |
| 1306940077 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 715 Bedford Road, Bedford Hills, NY 10507 | 2006-09-12 |
| Find all providers in zip 10507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508400185 | Phyllis A Sattler | Counselor | 22 Robinson Ave, Bedford Hills, NY 10507-1822 | 2019-11-06 |
| 1184772295 | Jennifer Saul Rosvally | Counselor | 66 Main St, Bedford Hills, NY 10507-1800 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | BEDFORD HILLS |
| Zip Code | 10507 |
Please comment or provide details below to improve the information on LISA MARIA BONAVISO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.