Individual
DR. JOSHUA BONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 EAST ADAMS ST, 4TH FL, SYRACUSE, NY 13210-2576
(315) 464-5831
(315) 464-2030
Mailing address
725 EAST ADAMS ST, 4TH FL, SYRACUSE, NY 13210-2576
(315) 464-5831
(315) 464-2030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
297873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05704141
—
NY
Enumeration date
04/12/2016
Last updated
05/22/2023
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