Bonoan, Jose Tadeo

Bonoan, Jose Tadeo is an sole proprietor health care provider with primary practice located at 337 Kimball Ave , Yonkers NY 10704-3032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bonoan, Jose Tadeo can be contacted via phone (914) 338-7534.

Contact Information

Primary practice address
337 Kimball Ave Yonkers NY 10704-3032
Phone: (914) 338-7534
Fax: (914) 338-7537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 202436-1 New York

Profile Details

NPI number 1255312518
LBN Legal business name Bonoan, Jose Tadeo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Mar 15th, 2010 - about 14 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 1255312518 NPPES
New York MEDICAID 01788870

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