Organization
ALBERT N BONANNO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT NOEL BONANNO DDS (OWNER)
(917) 209-4730
Entity
Organization
Contact information
Practice address
2631 MERRICK RD, 404, BELLMORE, NY 11710-5730
(516) 658-3885
Mailing address
2631 MERRICK RD, 404, BELLMORE, NY 11710-5730
(516) 658-3885
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
032364
NY
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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