LAURA BETH BONACORE (NPI# 1942479027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942479027 |
| Entity Type | Individual |
| Full Name | LAURA BETH BONACORE |
| Credential | CPNP |
| Practice Address |
14 Grove St Middletown NY 10940 |
| Mailing Address |
2570 Route 9w Ste 10 Cornwall NY 12518-1370 |
| Practice Telephone | 8455638000 |
| Mailing Telephone | 8452203100 |
| Mailing Fax Number | 8455342940 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 702003 | NY | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382626 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04549579 | 05 |
| Street Address |
14 GROVE ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571191 | Cornerstone Family Healthcare | Clinic/Center | 14 Grove St, Middletown, NY 10940-4806 | 2020-05-29 |
| 1588950828 | Eunice Martinez-salazar | Social Worker | 14 Grove St, Middletown, NY 10940-4806 | 2011-06-24 |
| 1063745644 | Hojin Lee | Pediatrics | 14 Grove St, Middletown, NY 10940-4806 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820077 | Karen Wood | Nurse Practitioner | 1272 W Main Rd Bldg 3, Middletown, RI 02842-6335 | 2020-10-29 |
| 1194140400 | Lorna A Divino | Nurse Practitioner | 200 Cleaver Farms Rd Ste 201, Middletown, DE 19709 | 2014-02-24 |
| 1891125654 | Talena Ullery | Nurse Practitioner | 200 Hollytree Dr, Middletown, OH 45044-3340 | 2013-11-14 |
| 1821345018 | Winifred S. O. Mellinger | Nurse Practitioner | 122 Silver Lake Road, Middletown School Based Health Center, Middletown, DE 19709 | 2012-08-07 |
| 1497944425 | Kerry Rose Stephenson | Nurse Practitioner | 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845 | 2007-10-16 |
| 1942812623 | Priyanka Tadepalli | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-23 |
| 1750856274 | Caroline Elizabeth Stockert | Nurse Practitioner | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2018-10-11 |
| 1669955910 | Lauren Michelle Grant | Nurse Practitioner | 333 Conover Dr Ste B, Middletown, OH 45005-1900 | 2018-09-12 |
| 1437435419 | Sandra Dawn Fomenko | Nurse Practitioner | 635 Main St, Middletown, CT 06457-2718 | 2011-10-22 |
| 1104112531 | Sandra Louise Bailey | Nurse Practitioner | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2011-06-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on LAURA BETH BONACORE.
| 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.