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

PHILIP BONANNO, M.D.

Active Sole Proprietor

PHILIP BONANNO, M.D. is a Ophthalmology healthcare provider located in GLEN COVE, New York. NPI 1609867845 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · GLEN COVE, NY

Registration Details

NPI Number
1609867845
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2005 (20.593623857454 yrs)
Last Updated
Jul 31, 2014
License
124617 (NY)
Sole Proprietor
Yes

Practice Information

Address
70 GLEN ST STE 380
GLEN COVE, NY, 115422858
Browse NY providers · Browse ZIP 11542
Phone
5166715676
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in GLEN COVE, NY

Name Credential NPI
DR. ROBERT I. APPEL M.D. 1730140518
SCOTT A VERNI MD. 1952362592
DR. JONATHAN TODD WESSON M.D. 1467416131
DR. ANTHONY GIRARDI MD 1366451148
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.