Bonaccio, Ermelinda

Bonaccio, Ermelinda is an individual health care provider with primary practice located at Elm And Carlton Streets , Buffalo NY 14263-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bonaccio, Ermelinda can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton Streets Buffalo NY 14263-0001
Fax: (716) 845-3011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 191837 New York

Profile Details

NPI number 1649275231
LBN Legal business name Bonaccio, Ermelinda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649275231 NPPES
New York MEDICAID 01829950

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