Bonanni, Michael

Bonanni, Michael is an sole proprietor health care provider with primary practice located at 475 Northern Blvd Ste 11 , Great Neck NY 11021. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bonanni, Michael can be contacted via phone (516) 829-0030.

Contact Information

Primary practice address
475 Northern Blvd Ste 11 Great Neck NY 11021
Phone: (516) 829-0030
Fax: (516) 466-7723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 040779 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 040779 New York

Profile Details

NPI number 1710469150
LBN Legal business name Bonanni, Michael
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2018
Last updated Nov 21st, 2019 - about 6 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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