Organization
ROGER A BONOMO,MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A BONOMO MD (PRESIDENT)
(646) 688-3443
Entity
Organization
Contact information
Practice address
47 E 77TH ST, SUITE 201, NEW YORK, NY 10075-1730
(646) 688-3443
Mailing address
47 E 77TH ST, SUITE 201, NEW YORK, NY 10075-1730
(646) 688-3443
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
138924
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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