Bonanno, Clarissa Ann
Bonanno, Clarissa Ann is an individual health care provider with primary practice located at 1111 Marcus Ave Ste M10C , New Hyde Park NY 11042-2036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Bonanno, Clarissa Ann can be contacted via phone (212) 266-3500.Contact Information
Primary practice address
1111 Marcus Ave Ste M10C
New Hyde Park NY 11042-2036
Phone: (212) 266-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 236458 | New York |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 236458 | New York |
Profile Details
NPI number | 1164673349 |
---|---|
LBN Legal business name | Bonanno, Clarissa Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2008 |
Last updated | Sep 6th, 2023 - about last year |
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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