Casanova, Bonnie M

Casanova, Bonnie M is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Casanova, Bonnie M can be contacted via phone (315) 798-1700.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Phone: (315) 798-1700
Fax: (315) 798-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331282 New York

Profile Details

NPI number 1700873858
LBN Legal business name Casanova, Bonnie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 28th, 2009 - about 15 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 1700873858 NPPES
New York MEDICAID 02326456

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