Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gennaro R Bonfiglio, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1851912497

Gennaro R Bonfiglio, MS, LAT, ATC is an Athletic Trainer in Harrison, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430
Phone: (800) 321-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 003030 (NY)

Record details

NPI number1851912497
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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