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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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