Provider Demographics
NPI:1043413776
Name:BONURA, FRANK (LMSW)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:BONURA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 W 19TH ST
Mailing Address - Street 2:APT. #8F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:445 W 19TH ST
Practice Address - Street 2:APT. #8F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3844
Practice Address - Country:US
Practice Address - Phone:212-807-6390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074079-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical