National Provider Identifier

Tracey Bonafede

Tracey Bonafede is listed in the NPPES registry with a primary specialty of Occupational Therapist in Williamsville, NY and a listed phone number of (336) 409-5555.

NPI 1497077762Williamsville, NYOccupational Therapist

Profile Overview

NPI
1497077762
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 26, 2010
Last Updated
February 26, 2010

Practice Location

  • 8307 Kimberly RD
  • Williamsville, NY 14221-6168

Phone: (336) 409-5555

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1497077762
Entity Type
Individual
Last Name
Bonafede
First Name
Tracey
Mailing Street Address
8307 Kimberly RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6168
Mailing Country
US
Practice Street Address
8307 Kimberly RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6168
Practice Country
US
Practice Phone
(336) 409-5555
Enumeration Date
February 26, 2010
Last Updated
February 26, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)