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NPI Code Detail

MEDICARE: DR. GAVRIEL BONIUK PSY.D.

MEDICARE:  DR. GAVRIEL  BONIUK  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistP132608NY

General Provider Information

NPI Number : 1144045394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAVRIEL BONIUK PSY.D.
Provider Business Mailing Address
First Line : 3220 ARLINGTON AVE APT 7
Second Line :
City : BRONX
State : NY
Zip : 10463-3354
Country : US
Telephone Number : 347-450-9656
Fax Number :
Provider Business Practice Location Address
First Line : 3220 ARLINGTON AVE APT 7
Second Line :
City : BRONX
State : NY
Zip : 10463-3354
Country : US
Telephone Number : 347-450-9656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2024
Last Update Date : 12/30/2025

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Directions to “ DR. GAVRIEL BONIUK PSY.D.” Practice Location

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