| Richard Joseph Bonanno, MD | |
|
1869 Brentwood Rd, Brentwood, NY 11717-4625 | |
| (631) 853-3458 | |
| Not Available |
| Full Name | Richard Joseph Bonanno |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1869 Brentwood Rd, Brentwood, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750472528 | NPI | - | NPPES |
| 00352727 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 118089 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Joseph Bonanno, MD 303 Plymouth Ave, Brightwaters, NY 11718-1409 Ph: (631) 968-8517 | Richard Joseph Bonanno, MD 1869 Brentwood Rd, Brentwood, NY 11717-4625 Ph: (631) 853-3458 |
Dr. Maria Del Rosario Vesey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3428 | |
Dr. Carlos Torres, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 664 Suffolk Ave, Brentwood, NY 11717 Phone: 631-273-7645 Fax: 631-273-4928 | |
Pratima Goyal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3400 | |
Mayur S Rali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Road, Brentwood, NY 11717 Phone: 631-853-3400 Fax: 631-853-3498 | |
Sarita K Dorschug, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 652 Suffolk Ave, Suite 208, Brentwood, NY 11717 Phone: 631-231-3535 Fax: 631-231-3561 |