NPI 1013216910

John D. Bonanno, M.D.,pc

Organisation Plastic and Reconstructive Surgery Physician New York, NY

Practice location

Address: 215 E 77th St, New York, NY 10075-2059
Phone: (212) 570-6411
Fax: (212) 570-6416

Authorised official

Name: John Dante Bonanno
Title: President
Phone: (212) 570-6411

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 123028 (NY)

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Registry record

NPI: 1013216910
Entity type: Organization
NPI issued: 18 Mar 2011
Record last updated: 18 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.