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Individual

MS. LENORE BONANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PA

Contact information

Practice address
STONY BROOK UNIVERSITY CANCER CTR, 3 EDMUND PELLEGRINO RD, STONY BROOK, NY 11794-8183
(631) 444-3577
(631) 444-8909
Mailing address
STONY BROOK UNIVERSITY HOSPITAL 100 NICOLLS RD, HSC T18-030, STONY BROOK, NY 11794-8183
(631) 444-3577
(631) 444-8909

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P63329
NY
363AM0700X
Medical Physician Assistant
Primary
013193
NY

Other

Enumeration date
04/11/2008
Last updated
08/28/2017
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