Vincent R Bonagura in Great Neck - Pediatric Allergy/immunology
Vincent R Bonagura - NPI 1568556629
Vincent R Bonagura is a Pediatric Allergy/immunology in Great Neck, New York. Vincent R Bonagura practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Vincent R Bonagura is 1568556629. The last update date is 2007-07-08.
Vincent R Bonagura's current location address is 865 Northern Blvd, Great Neck, New York. You can contact this provider via phone number 5166225070 and fax number 5166225060. The mailing address for Vincent R Bonagura is 865 Northern Blvd, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent R Bonagura |
|---|---|
| Address | 865 Northern Blvd, Great Neck, New York |
| Phone Number | 5166225070 |
| Fax Number | 5166225060 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568556629 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 865 Northern Blvd |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110215310 |
| Phone Number | 5166225070 |
| Fax Number | 5166225060 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 127269 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 828937 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Vincent R Bonagura by the Centers for Medicare & Medicaid Services?
The Vincent R Bonagura has been assigned the NPI (National Provider Identifier) 1568556629 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Vincent R Bonagura?
The Vincent R Bonagura is physically situated at 865 Northern Blvd, in the city of Great Neck, state of NY, with the postal code 110215310.
What is Vincent R Bonagura's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vincent R Bonagura is Pediatric Allergy/immunology, and the taxonomy code that categorizes this field of expertise is 2080P0201X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568556629 to Vincent R Bonagura?
The Centers for Medicare & Medicaid Services originally issued the 1568556629 to Vincent R Bonagura on 2006-10-03.
As of what date was the information pertaining to Vincent R Bonagura, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vincent R Bonagura, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.