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

VINCENT R BONAGURA, MD

Active Sole Proprietor

VINCENT R BONAGURA, MD is a Pediatric Allergy/Immunology healthcare provider located in GREAT NECK, New York. NPI 1568556629 is currently active in the NPPES registry. Verify at CMS.

Pediatric Allergy/Immunology · GREAT NECK, NY

Registration Details

NPI Number
1568556629
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.890809327814 yrs)
Last Updated
Jul 8, 2007
License
127269 (NY)
Sole Proprietor
Yes

Practice Information

Address
865 NORTHERN BLVD
SUITE 101
GREAT NECK, NY, 110215310
Browse NY providers · Browse ZIP 11021
Phone
5166225070
Fax
5166225060
Primary Specialty
Pediatric Allergy/Immunology
2080P0201X

Other Pediatric Allergy/Immunology Providers in GREAT NECK, NY

Name Credential NPI
BLANKA KAPLAN MD 1184795270
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.