MS. Kathy Bonanno, DC

NPI #1730464652 in Massapequa, New York

Provider Information

NPI Number: 1730464652
Entity Type: Individual
Name: MS. Kathy Bonanno, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 12, 2011
Last Updated: Feb 7, 2014

Practice Location

Address: 15 DELTA RD
City: Massapequa
State: New York
ZIP Code: 11758-5504
Phone: (516) 398-0436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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