Individual provider · Type 1 NPI

Vincent R. Bonagura, MD

Pediatric Allergy/Immunology Physician · Great Neck, NY

NPI number 1568556629 Active

Practice location

865 Northern Blvd, Suite 101
Great Neck, NY 11021-5310

Fax (516) 622-5060

Mailing address

175 Community Dr, 2nd Floor
Great Neck, NY 11021-5502

Specialties and licenses

TaxonomyCodeLicense
Pediatric Allergy/Immunology Physician Primary 2080P0201X127269 (NY)

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

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About NPI 1568556629

Vincent R. Bonagura, MD's National Provider Identifier is 1568556629, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Great Neck, NY. The record was last updated on Jul 8, 2007.