MS. KATHY BONANNO (NPI# 1730464652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730464652 |
| Entity Type | Individual |
| Full Name | MS. KATHY BONANNO |
| Credential | DC |
| Practice Address |
15 Delta Rd Massapequa NY 11758-5504 |
| Practice Telephone | 5163980436 |
| Practice Fax Number | 5168048981 |
| Mailing Telephone | 5163980436 |
| Mailing Fax Number | 5168048981 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X005300-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | REGISTRATION CERTIFICATE | X005300-1 | 01 |
| Street Address |
15 DELTA RD |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866604 | Hlc Chiropractic PC | Chiropractor | 5513 Merrick Rd, Massapequa, NY 11758-6215 | 2018-09-26 |
| 1417357948 | B2h Chiropractic,p.c. | Chiropractor | 5509 Merrick Rd, Massapequa, NY 11758-6215 | 2014-09-03 |
| 1730455627 | Christopher Michael Scarangella | Chiropractor | 126 Greenwood Dr, Massapequa, NY 11758-2215 | 2012-03-26 |
| 1558541326 | Tricia Aiello | Chiropractor | 635 Broadway, Massapequa, NY 11758-5032 | 2007-11-09 |
| 1740492032 | Christopher Alexander Schmidt | Chiropractor | 4400 Merrick Rd, Massapequa, NY 11758-6004 | 2007-05-07 |
| 1932223567 | Anthony Perso | Chiropractor | 530 Broadway, Massapequa, NY 11758-5004 | 2007-03-19 |
| 1932244142 | Joseph J. Brusca | Chiropractor | 5493 Merrick Rd, Massapequa, NY 11758-6215 | 2007-02-21 |
| 1922144567 | Marianne Satre | Chiropractor | 935 N Broadway, Massapequa, NY 11758-2308 | 2007-01-30 |
| 1538224340 | Daniel F. Basilicato | Chiropractor | 192 William Rd, Massapequa, NY 11758-2226 | 2006-12-22 |
| 1962577940 | Vanessa Lynn Troise | Chiropractor | 952 Broadway, Massapequa, NY 11758 | 2006-11-22 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on MS. KATHY BONANNO.
| 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.