Philip A. Bonanno, M.d. P.c.

NPI #1932210002 in Glen Cove, New York

Provider Information

NPI Number: 1932210002
Entity Type: Organization
Organization Name: Philip A. Bonanno, M.d. P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Aug 31, 2006
Last Updated: Jul 31, 2014

Practice Location

Address: 70 GLEN ST
Address 2: SUITE 380
City: Glen Cove
State: New York
ZIP Code: 11542-2855
Phone: (516) 671-5676

Authorized Official

Name: PHILIP A. BONANNO, M.D., P.C.
Title: OPHTHALMOLOGIST
Phone: (516) 671-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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