Joseph N. Bonavoglia, Dc | New York, NY • PECOS Search

Joseph N. Bonavoglia, Dc

Chiropractor

Chiropractic Providers

139 E 57th St, New York, NY 10022-2102

PECOS Enrollment

Based on the most recent information from CMS, provider Joseph N. Bonavoglia, Dc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1639557416
Provider Type
Organization
Full Name
Joseph N. Bonavoglia, Dc

Subpart
No
Enumeration Date
5/12/2015
Last Updated
5/12/2015

Contact Information

Practice Location

139 E 57th St, New York, NY 10022-2102

(347) 802-4241

Mailing Location

161 Mcdonnell Rd, Pleasant Valley, NY 12569-5316

(347) 802-4241

Authorized Official

Halkias, Liz (Ceo)

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License X004085 New York