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

DR. EDWARD JOHN BONAVILLA, DPM

Active

DR. EDWARD JOHN BONAVILLA, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ROCHESTER, New York. NPI 1629030960 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · ROCHESTER, NY

Registration Details

NPI Number
1629030960
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2006 (20.324222697681 yrs)
Last Updated
Jul 8, 2007
License
002178 (NY)

Practice Information

Address
490 TITUS AVE
ROCHESTER, NY, 146173541
Browse NY providers · Browse ZIP 14617
Phone
5855443620
Fax
5855444567
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in ROCHESTER, NY

Name Credential NPI
DR. DAVID VIGDOR CHAZAN DPM 1114989464
DR. LOUIS J TALLO D.P.M. 1902863863
DR. PEARCE SLOAN D.P.M. 1154388023
DR. MICHAEL L GIORDANO DPM 1942250295
DR. JOHN G ADDINO DPM 1851341101
MASSIMO PIETRANTONI D.P.M. 1598718017
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.