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

Dr. Lisa Marie Bonvino, DO

Individual provider Psychiatry Physician · NPI 1376617944

Dr. Lisa Marie Bonvino, DO is a Psychiatry in Patchogue, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1998, 28 years ago. Practices with The Long Island Home, a 23-clinician group. Licensed in New York.

Years since qualifying
28
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 447-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 223033 (NY)

Record details

NPI number1376617944
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1998 (28 years in practice)
Group practice The Long Island Home — 23 clinicians
Accepts Medicare assignment Not indicated

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