Bonomo, Daniel James

Bonomo, Daniel James is an sole proprietor health care provider with primary practice located at 1407 20Th Ave E , Palmetto FL 34221-6523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bonomo, Daniel James can be contacted via phone (914) 552-6842.

Contact Information

Primary practice address
1407 20Th Ave E Palmetto FL 34221-6523
Phone: (914) 552-6842
Fax: (914) 560-2121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME152253 Florida

Profile Details

NPI number 1285738625
LBN Legal business name Bonomo, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Mar 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285738625 NPPES
New York MEDICAID 01045367

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