Organization
JONATHAN D BONIUK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BONIUK M.D. (PHYSICIAN/OWNER)
(718) 432-2299
Entity
Organization
Contact information
Practice address
3333 HENRY HUDSON PKWY, SUITE 1K, BRONX, NY 10463-3235
(718) 432-2299
(718) 432-2069
Mailing address
2717 ARLINGTON AVE, BRONX, NY 10463-4806
(718) 432-2299
(718) 432-2069
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
199677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592070
—
NY
Enumeration date
03/31/2010
Last updated
06/24/2010
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