Bonomo, Giovanni
Bonomo, Giovanni is an individual health care provider with primary practice located at 256 Mason Ave Bldg C3 , Staten Island NY 10305-3408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Bonomo, Giovanni can be contacted via phone (718) 226-6398.Contact Information
Primary practice address
256 Mason Ave Bldg C3
Staten Island NY 10305-3408
Phone: (718) 226-6398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 297392-1 | New York |
Profile Details
| NPI number | 1386934917 |
|---|---|
| LBN Legal business name | Bonomo, Giovanni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2011 |
| Last updated | Mar 2nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386934917 | NPPES |
| Pennsylvania | MEDICAID | 103336973 |
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