Individual
MR. JOSEPH BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3481 E TREMONT AVE, BRONX, NY 10465-2016
(718) 319-8800
(718) 319-8808
Mailing address
3481 E TREMONT AVE, BRONX, NY 10465-2016
(718) 319-8800
(718) 319-8808
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
187793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187793
LICENSE NUMBER
NY
01
—
P714659
OXFORD NUMBER
—
Enumeration date
11/06/2006
Last updated
06/11/2013
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