Lisa Marie Bono-Winter
Individual provider Active NPI Specialist · East Norwich, NY
NPI 1679900286 · NPPES record last updated Sep 27, 2013
Key facts
- NPI
- 1679900286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 10 Highwood Rd
East Norwich, NY 11732-1109 - Phone
- (516) 242-1999
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes | |
| Early Intervention Provider Agency | 252Y00000X | NY |
Addresses
Primary practice location
10 Highwood Rd
East Norwich, NY 11732-1109
Mailing address
10 Highwood Rd
East Norwich, NY 11732-1109
Other providers in East Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.