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

Jose Miguel Bonifacio

Individual provider Clinical Social Worker · NPI 1710199518

Jose Miguel Bonifacio is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

651 Academy St
New York, NY 10034-5003
Phone: (212) 942-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 048570 (NY)

Record details

NPI number1710199518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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