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Individual

WILLIAM A BONADIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(347) 763-2409
(651) 855-2310

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36476
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
36476
MN
208000000X
Pediatrics Physician
36476
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
36476
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
535762400
MN
Enumeration date
11/01/2006
Last updated
08/31/2021
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