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Contact Information

LIZBETH D BONACUM, PT
1915 COUNTY HIGHWAY 6
BOVINA CENTER, NY13740
 Phone: 607-832-4880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LIZBETH D BONACUM · (Female)

NPI Number 1326363490
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/01/2010
Last updated 04/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006052-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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