Individual
DR. ROBERT J BONASERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 FRANKLIN AVE STE 150, GARDEN CITY, NY 11530
(516) 222-0067
(516) 222-0071
Mailing address
1205 FRANKLIN AVE STE 150, GARDEN CITY, NY 11530-1600
(516) 222-0067
(516) 222-0071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
237615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237615
LICENSE #
NY
Enumeration date
07/26/2006
Last updated
03/07/2023
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