Organization
JOHN D. BONANNO, M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DANTE BONANNO M.D. (PRESIDENT)
(212) 570-6411
Entity
Organization
Contact information
Practice address
215 E 77TH ST, NEW YORK, NY 10075-2059
(212) 570-6411
(212) 570-6416
Mailing address
215 E 77TH ST, NEW YORK, NY 10075-2059
(212) 570-6411
(212) 570-6416
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
123028
NY
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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