Bonanno, Joseph

Bonanno, Joseph is an sole proprietor health care provider with primary practice located at 3481 E Tremont Ave , Bronx NY 10465-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bonanno, Joseph can be contacted via phone (718) 319-8800.

Contact Information

Primary practice address
3481 E Tremont Ave Bronx NY 10465-2016
Fax: (718) 319-8808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 187793 New York

Profile Details

NPI number 1750460960
LBN Legal business name Bonanno, Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jun 11th, 2013 - about 12 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 1750460960 NPPES
New York Other 187793 LICENSE NUMBER
New York Other P714659 LICENSE NUMBER

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