Joseph N. Bonavoglia, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004085 Issued in NY

Legal business name

JOSEPH N. BONAVOGLIA, DC

Practice address

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

Phone

(347) 843-8657

Fax

(347) 802-4241

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Liz Halkias, CEO

Title

Ceo

Phone

(347) 843-8657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1639557416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MCDONNELL RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125695316",
            "telephone_number": "347-843-8657",
            "fax_number": "347-802-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222102",
            "telephone_number": "347-843-8657",
            "fax_number": "347-802-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH N. BONAVOGLIA, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "HALKIAS",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-843-8657",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.