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Mr. Robert Vincent Bonanno, LPN
Licensed Practical Nurse in Shirley, New York
NPI 1710266234

Robert Vincent Bonanno is a Licensed Practical Nurse based in Shirley, NY. Robert Vincent Bonanno practices in Shirley, NY and has the professional credentials of LPN. The NPI Number for Robert Vincent Bonanno is 1710266234 and holds a License No. 293365 (New York).

The current practice location address for Robert Vincent Bonanno is 108 Chanel Dr E, Shirley, NY and can be reached out via phone at 631-905-7392.

Location: 108 Chanel Dr E, Shirley, NY, 11967-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710266234
Provider Name
Robert Vincent Bonanno
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
108 Chanel Dr E, Shirley, NY, 11967-3832
Phone Number
631-905-7392
Fax Number
Provider Enumeration Date
08/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Chanel Dr E
City
Shirley
State
New York
Zip
11967-3832
Phone Number
631-905-7392
Fax Number
person
Provider Business Mailing Address Details
Address
108 Chanel Dr E
City
Shirley
State
New York
Zip
11967-3832
Phone Number
631-905-7392
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
293365 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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