Organization
METROPOLITAN NEW YORK MEDICINE & INFECTIOUS DISEASES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE TADEO BONOAN M.D. (PRESIDENT)
(914) 338-7534
Entity
Organization
Contact information
Practice address
337 KIMBALL AVE, YONKERS, NY 10704-3032
(914) 338-7534
(914) 338-7537
Mailing address
PO BOX 351, DOBBS FERRY, NY 10522-0351
(914) 338-7534
(914) 338-7537
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
202436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02957495
—
NY
01
—
202436
HIP
NY
01
—
2512720
GHI
NY
01
—
2813319
AETNA
—
01
—
2X0703
EMPIRE BLUE CROSS BLUE SH
NY
01
—
N81758
HEALTHNET
—
01
—
P00033933
RAILROAD MEDICARE
—
01
—
P2579806
OXFORD
—
Enumeration date
02/07/2007
Last updated
03/15/2010
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