ROBERT VINCENT BONANNO

SHIRLEY, NY
NPI1710266234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  293365)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
Mr. ROBERT VINCENT BONANNO LPN
108 CHANEL DR E
SHIRLEY, NY 11967-3832
Phone number: 631-905-7392
Mailing Address
Mr. ROBERT VINCENT BONANNO LPN
108 CHANEL DR E
SHIRLEY, NY 11967-3832
Phone number: 631-905-7392