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PHILIP BONANNO M.D.
NPI 1609867845
Ophthalmology in Glen Cove, NY

Active since November 04, 2005
70 GLEN ST STE 380, GLEN COVE, NY 11542(516) 671-5676 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip Bonanno M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP BONANNO M.D. (NPI 1609867845) is an individual ophthalmology provider in Glen Cove, New York, licensed in New York (124617) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1609867845
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePHILIP BONANNOCredential: M.D.
Location Address70 GLEN ST STE 380Glen Cove, NY 11542-2858
Mailing Address70 Glen St Ste 380Glen Cove, NY 11542-2858 · (516) 671-5676
Phone(516) 671-5676
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 31, 2014
✔ NPI 1609867845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 124617
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
70 GLEN ST STE 380, Glen Cove, NY 11542
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Other Identifiers 2

Medicare PIN14A143NY
Medicaid00391873NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DEANGELIS DO PC
Internal Medicine
70 GLEN ST STE 380
GLEN COVE, NY 11542
Nassau County (516) 674-7074
MICHAEL RICHARD DEANGELIS D.O
Internal Medicine
70 GLEN ST STE 380
GLEN COVE, NY 11542
Nassau County (516) 674-7074
MR. FABIO MURILLO LAC
Acupuncturist
70 GLEN ST STE 380
GLEN COVE, NY 11542
Nassau County (516) 852-1821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Bonanno's NPI number?

The NPI number for Philip Bonanno is 1609867845. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Philip Bonanno located?

Philip Bonanno practices at 70 Glen St Ste 380, Glen Cove, NY 11542. The listed phone number is (516) 671-5676.

What is Philip Bonanno's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Philip Bonanno was last updated on July 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.