Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne Marie Bonifati, PA

Individual provider Physician Assistant · NPI 1811749864

Anne Marie Bonifati, PA is a Physician Assistant in Hicksville, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2024, 2 years ago. Practices with Allure Dermatology PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 S Oyster Bay Rd Ste 100
Hicksville, NY 11801-3500
Phone: (516) 933-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031722 (NY)

Record details

NPI number1811749864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2024 (2 years in practice)
Group practice Allure Dermatology Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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