Individual
DR. DANIEL JAMES BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1407 20TH AVE E, PALMETTO, FL 34221-6523
(914) 552-6842
(914) 560-2121
Mailing address
1407 20TH AVE E, PALMETTO, FL 34221-6523
(914) 552-6842
(914) 560-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME152253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01045367
—
NY
Enumeration date
09/07/2006
Last updated
03/29/2022
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