Provider Demographics
NPI:1912172131
Name:BONO, FRANK G (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:G
Last Name:BONO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 FRANKLIN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4827
Mailing Address - Country:US
Mailing Address - Phone:516-603-0929
Mailing Address - Fax:
Practice Address - Street 1:1527 FRANKLIN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4805
Practice Address - Country:US
Practice Address - Phone:516-860-2738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR025887-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical