Provider Demographics
NPI:1891096780
Name:BONOCORE CHIROPRACTIC & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:BONOCORE CHIROPRACTIC & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BONOCORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-786-4686
Mailing Address - Street 1:904 23RD ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2117
Mailing Address - Country:US
Mailing Address - Phone:201-786-4686
Mailing Address - Fax:201-786-4689
Practice Address - Street 1:904 23RD ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2117
Practice Address - Country:US
Practice Address - Phone:201-786-4686
Practice Address - Fax:201-786-4689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00641800273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit