National Provider Identifier Database

JOHN D BONANNO MDPC
Plastic and Reconstructive Surgery


Contact Information

JOHN D. BONANNO, M.D.,PC
215 E 77TH ST
NEW YORK, NY10075-2059
Phone: 212-570-6411
Fax: 212-570-6416
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for JOHN D. BONANNO, M.D.,PC

NPI Number 1013216910
Legal business name
LBN
JOHN D. BONANNO, M.D.,PC
Authorized official JOHN BONANNO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/18/2011
Last updated 03/18/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 123028

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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