Individual
STEVEN BONVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309
(718) 226-9488
(718) 226-8132
Mailing address
ONE EDGEWATER STREET, SUITE 723, STATEN ISLAND, NY 10305
(718) 226-4324
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
213748
NY
207RP1001X
Pulmonary Disease Physician
213748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01974134
—
NY
Enumeration date
01/04/2007
Last updated
05/06/2010
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