Bonanno, Albert

Bonanno, Albert is an individual health care provider with primary practice located at 1025 Portion Rd Suite H, Farmingville NY 11738-2291. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bonanno, Albert can be contacted via phone (631) 696-0100.

Contact Information

Primary practice address
1025 Portion Rd Suite H Farmingville NY 11738-2291
Phone: (631) 696-0100
Fax: (631) 696-4159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 032364 New York

Profile Details

NPI number 1366561136
LBN Legal business name Bonanno, Albert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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