DR. Michael Bonomo, PH.D. is a student in an organized health care education training program in Douglaston, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Michael Bonomo, PH.D. NPI is 1750782900. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
24302 NORTHERN BLVD
DOUGLASTON, NY
ZIP 11362-150
Phone: (718) 423-6200
The enumeration date for this NPI number is 9/8/2014 and was last updated on 9/8/2014.