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MR. ROBERT VINCENT BONANNO LPN
NPI 1710266234
Licensed Practical Nurse in Shirley, NY

Active since August 15, 2011
108 CHANEL DR E, SHIRLEY, NY 11967(631) 905-7392 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mr. Robert Vincent Bonanno Lpn NPPES

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

MR. ROBERT VINCENT BONANNO LPN (NPI 1710266234) is an individual licensed practical nurse in Shirley, New York, licensed in New York (293365) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1710266234
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. ROBERT VINCENT BONANNOCredential: LPN
Location Address108 CHANEL DR EShirley, NY 11967-3832
Mailing Address108 Chanel Dr EShirley, NY 11967-3832 · (631) 905-7392
Phone(631) 905-7392
Sole ProprietorYes
Enumeration DateAugust 15, 2011
✔ NPI 1710266234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 293365
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
108 CHANEL DR E, Shirley, NY 11967
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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 Robert Bonanno's NPI number?

The NPI number for Robert Bonanno is 1710266234. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Robert Bonanno located?

Robert Bonanno practices at 108 Chanel Dr E, Shirley, NY 11967. The listed phone number is (631) 905-7392.

What is Robert Bonanno's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Robert Bonanno was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.