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Contact Information

MICHAEL BONANNI, DPT
475 NORTHERN BLVD STE 11
GREAT NECK, NY11021
 Phone: 516-829-0030
 Fax: 516-466-7723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHAEL BONANNI · (Male)

NPI # 1710469150
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 09/02/2018
Last updated 11/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 040779
Hospital affiliation(s) Not Available
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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