DR. EDWARD JOHN BONAVILLA


Address: 490 Titus Ave, Rochester, NY 14617-3541
Phone: 5855443620

DR. EDWARD JOHN BONAVILLA (NPI# 1629030960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629030960
Entity Type Individual
Full Name DR. EDWARD JOHN BONAVILLA
Credential DPM
Practice Address 490 Titus Ave
Rochester
NY 14617-3541
Practice Telephone 5855443620
Practice Fax Number 5855444567
Mailing Telephone 5855443620
Mailing Fax Number 5855444567
Enumeration Date 2006-04-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
002178 NY Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 490 TITUS AVE
City ROCHESTER
State NY
Zip Code 14617-3541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386606630 Joseph Larry Carbone Podiatrist 490 Titus Ave, Rochester, NY 14617-3541 2006-04-03
1790850436 Rochester Foot Care Associates LLP Podiatrist 490 Titus Ave, Rochester, NY 14617-3541 2006-11-21
1114989464 David Vigdor Chazan Podiatrist 490 Titus Ave, Rochester, NY 14617-3541 2006-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720625148 Taylor Barrett Speech-Language Pathologist 350 Cooper Road, Rochester, NY 14617 2019-12-04
1326517608 Matthew Richard Vandermeid Student in an Organized Health Care Education/Training Program 161 Sethland Dr., Rochester, NY 14617 2018-11-16
1174031652 Joseph Tshamala Chiropractor 2164 Hudson Ave., Rochester, NY 14617 2018-01-18
1043585599 Shannon Nichole Fridd Speech-Language Pathologist 350 Cooper Rd., Rochester, NY 14617 2012-03-16
1861777112 Todd M Schoen Pharmacist 525 Titus Avenue, Rochester, NY 14617 2011-10-19
1225317266 Easter Seals New York, Inc. Intermediate Care Facility, Mental Illness 304 Daley Blvd, Rochester, NY 14617 2011-08-09
1407135445 Easter Seals New York, Inc. Intermediate Care Facility, Mental Illness 404 Rogers Pkwy, Rochester, NY 14617 2011-08-09
1316226350 Easter Seals of Ny, Inc Intermediate Care Facility, Mental Illness 302 Daley Boulevard, Rochester, NY 14617 2011-08-09
1215225602 Alberto Ramon Cebollero Psychologist 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 2011-07-19
1487893269 Stepping Stones Learning Center Early Intervention Provider Agency 2111 Hudson Ave, Rochester, NY 14617 2009-02-18
Find all providers in zip 14617

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023538493 Foot and Ankle Clinic Podiatrist 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 2017-06-26
1346603701 Laura M Buehler Podiatrist 2768 Superior Dr Nw, Rochester, MN 55901-3063 2016-04-03
1770710683 Katrina Jeanne Manos Podiatrist 2236 Ridge Rd W., Rochester, NY 14626-2804 2009-06-18
1336272517 Stephen Edward Panetta Podiatrist 2768 Superior Drive Nw, Rochester, MN 55901 2007-03-14
1518054485 Metro Footcare Associates L.l.p. Podiatrist 2225 Clinton Ave S, Rochester, NY 14618-2623 2006-10-10
1053417014 Genesee Valley Podiatry LLP Podiatrist 500 W Whitney Road, Rochester, NY 14621-3064 2006-09-16
1942243993 Kevin D Lind Podiatrist 210 9th St Se Ste 1, Rochester, MN 55904-6400 2006-06-14
1598718017 Massimo Pietrantoni Podiatrist 382 White Spruce Blvd, Rochester, NY 14623-1604 2006-05-18
1902863863 Louis J Tallo Podiatrist 2225 S Clinton Ave, Rochester, NY 14618-2623 2006-04-26
1386606630 Joseph Larry Carbone Podiatrist 490 Titus Ave, Rochester, NY 14617-3541 2006-04-03
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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