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Contact Information

CLARISSA A BONANNO, MD
1111 MARCUS AVE STE M10C
NEW HYDE PARK, NY11042-2036
 Phone: 212-266-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CLARISSA A BONANNO · (Female)

NPI # 1164673349
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2008
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 236458
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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