RICHARD JOSEPH BONANNO

BRENTWOOD, NY
NPI1750472528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  118089)
Enumeration Date2006-09-27
Last Update Date2008-11-18
Business Address
RICHARD JOSEPH BONANNO MD
1869 BRENTWOOD RD
BRENTWOOD, NY 11717-4625
Phone number: 631-853-3458
Mailing Address
RICHARD JOSEPH BONANNO MD
303 PLYMOUTH AVE
BRIGHTWATERS, NY 11718-1409
Phone number: 631-968-8517
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