Kathy Bonanno, DC
Chiropractor in Massapequa, NY. Individual provider (NPI-1).
NPI number1730464652
StatusActive
Last updated in NPPESFeb 7, 2014
Details
- NPI
- 1730464652
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathy Bonanno
- Credential
- DC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2011
- Last updated
- Feb 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | X005300-1 | NY | Yes |
Practice location
15 Delta RdMassapequa, NY 11758-5504
Phone 516-398-0436 · Fax 516-804-8981
Mailing address
15 Delta RdMassapequa, NY 11758-5504
Phone 516-398-0436 · Fax 516-804-8981
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All 53 Chiropractor providers in Massapequa · All 1,530 providers in Massapequa
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