Provider Demographics
NPI:1629699632
Name:BONUS SALUS
Entity Type:Organization
Organization Name:BONUS SALUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YAO
Authorized Official - Middle Name:
Authorized Official - Last Name:KRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-763-7694
Mailing Address - Street 1:421, 8TH AVE, UNIT 324
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10116-0324
Mailing Address - Country:US
Mailing Address - Phone:646-763-7694
Mailing Address - Fax:
Practice Address - Street 1:222 BLAIR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3756
Practice Address - Country:US
Practice Address - Phone:646-763-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care