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Ms. Kathy Bonanno, DC
Chiropractor in Massapequa, New York
NPI 1730464652

Kathy Bonanno is a Chiropractor based in Massapequa, NY. Kathy Bonanno practices in Massapequa, NY and has the professional credentials of DC. The NPI Number for Kathy Bonanno is 1730464652 and holds a License No. X005300-1 (New York).

The current practice location address for Kathy Bonanno is 15 Delta Rd, Massapequa, NY and can be reached out via phone at 516-398-0436 and via fax at 516-804-8981.

Location: 15 Delta Rd, Massapequa, NY, 11758-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730464652
Provider Name
Kathy Bonanno
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
15 Delta Rd, Massapequa, NY, 11758-5504
Phone Number
516-398-0436
Fax Number
516-804-8981
Provider Enumeration Date
10/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X005300-1 01 NY REGISTRATION CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
15 Delta Rd
City
Massapequa
State
New York
Zip
11758-5504
Phone Number
516-398-0436
Fax Number
516-804-8981
person
Provider Business Mailing Address Details
Address
15 Delta Rd
City
Massapequa
State
New York
Zip
11758-5504
Phone Number
516-398-0436
Fax Number
516-804-8981
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X005300-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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