Mary Christina Bonerb, MSED., CCC/L-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019894-1 Issued in NY

Practice address

697 Ridge Rd
Buffalo, NY 14218-1500

Phone

(716) 822-4781

NPI assigned

Jun 29, 2010

Last updated

Apr 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1447561048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 NORTHWOOD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231109",
            "telephone_number": "716-913-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 RIDGE RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142181500",
            "telephone_number": "716-822-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONERB",
        "first_name": "MARY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MSED., CCC/L-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Bonales, M.D.
• Mona Bonanno, M.D.
• Zoe Bonar, BT
• Lawrence Bone, MD
• Richard James Boneberg, CRNA
• Jose Luis Bonilla, PHARM.D
• Karla V Bonilla
• Ashlyn Marie Boniszewski, BA
• Katherine Susanne Bonito, PA-C
• Nicole Bonito, CRNA

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.