Mr. Adam V Bonanno, MSED
Specialist in Staten Island, New York
1962765883- Practice location
- 1535 Richmond Ave, Staten Island, NY 10314-1520
- Phone
- 718-556-1616
- Fax
- —
- Last updated
- June 18, 2012
Adam V Bonanno is a Specialist based in Staten Island, NY. Adam V Bonanno practices in Staten Island, NY and has the professional credentials of MSED. The NPI Number for Adam V Bonanno is 1962765883 and holds a License No. 1093188 (NY). The current practice location address for Adam V Bonanno is 1535 Richmond Ave, Staten Island, NY 10314-1520 and can be reached out via phone at 718-556-1616.
Provider Profile Details
- NPI Number
- 1962765883
- Provider Name
- Adam V Bonanno
- Credential
- MSED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1535 Richmond Ave, Staten Island, NY 10314-1520
- Phone Number
- 718-556-1616
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2012
- Last Update Date
- June 18, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1535 Richmond Ave
Staten Island, NY 10314-1520 - City
- Staten Island
- State
- New York
- Zip
- 10314-1520
- Phone Number
- 718-556-1616
Provider Business Mailing Address Details
- Address
- 62 Cranberry CT
Staten Island, NY 10309-1987 - City
- Staten Island
- State
- NY
- Zip
- 10309-1987
- Phone Number
- 718-702-5471
License Information
- License Number
- 1093188
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Mr. Adam V Bonanno, MSED?
The NPI number of Mr. Adam V Bonanno, MSED is 1962765883. It was assigned on June 18, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Adam V Bonanno, MSED?
Mr. Adam V Bonanno, MSED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1093188.
Where does Mr. Adam V Bonanno, MSED practice?
The practice location is 1535 Richmond Ave, Staten Island, NY 10314-1520. The office can be reached at 718-556-1616 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962765883 directly on the NPPES registry website.