Individual
DR. JOHN J BONAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 KINGSBURY RD, NEW ROCHELLE, NY 10804-4718
(917) 864-2116
(914) 833-1376
Mailing address
PO BOX 397, WACCABUC, NY 10597-0397
(917) 864-2116
(914) 833-1376
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
103909
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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