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Vincent R Bonagura, MD
Pediatric Allergy/Immunology Physician in Great Neck, New York
NPI 1568556629

Vincent R Bonagura is a Pediatric Allergy/Immunology Physician based in Great Neck, NY and is specialized in Pediatric Allergy/Immunology. Vincent R Bonagura practices in Great Neck, NY and has the professional credentials of MD. The NPI Number for Vincent R Bonagura is 1568556629 and holds a License No. 127269 (New York).

The current practice location address for Vincent R Bonagura is 865 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-622-5070 and via fax at 516-622-5060.

Location: 865 Northern Blvd, Great Neck, NY, 11021-5502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568556629
Provider Name
Vincent R Bonagura
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
865 Northern Blvd, Great Neck, NY, 11021-5502
Phone Number
516-622-5070
Fax Number
516-622-5060
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00828937 05 NY
institution
Provider Business Practice Location Address Details
Address
865 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5310
Phone Number
516-622-5070
Fax Number
516-622-5060
person
Provider Business Mailing Address Details
Address
865 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5310
Phone Number
516-622-5070
Fax Number
516-622-5060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
2080P0201X
License No.
127269 (New York)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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