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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON BONANNO

Active Sole Proprietor

BRANDON BONANNO is a Physician Assistant healthcare provider located in STONY BROOK, New York. NPI 1518750397 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STONY BROOK, NY

Registration Details

NPI Number
1518750397
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2025 (1.2194976230173 yrs)
Last Updated
Sep 4, 2025
Sole Proprietor
Yes

Practice Information

Address
100 NICOLLS RD
HSC T12 RM 080
STONY BROOK, NY, 117948122
Browse NY providers · Browse ZIP 11794
Phone
6314441116
Fax
6314441535
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STONY BROOK, NY

Name Credential NPI
MS. KAREN RENATE DYBUS RPA 1255334363
ROBERT K. ANSBACH R.P.A.-C 1326041260
ELEANOR S MILLER P.A. 1376519876
MRS. COLLEEN CALANDRA P.A. 1215990593
SUSHMA KAPUR PA 1609817949
MR. RICARDO ARANGUREN P.A. 1154357879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.