Dr. Laura Bonomo, Ph.D.
Psychologist, Clinical in Garden City, NY. Individual provider (NPI-1).
NPI number1851478903
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1851478903
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laura Bonomo
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 011068 | NY | Yes |
Other names
- Laura J Cohen (Former Name)
Practice location
647 Franklin Ave Ste Ll4Garden City, NY 11530-5746
Phone 516-798-4070 · Fax 516-798-4070
Mailing address
647 Franklin Ave Ste Ll4Garden City, NY 11530-5746
Phone 516-798-4070 · Fax 516-798-4070
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