Individual provider · Type 1 NPI

Kathy Bonanno, DC

Chiropractor · Massapequa, NY

NPI number 1730464652 Active

Practice location

15 Delta Rd
Massapequa, NY 11758-5504

Call (516) 398-0436 Map

Fax (516) 804-8981

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX005300-1 (NY)

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.

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About NPI 1730464652

Kathy Bonanno, DC's National Provider Identifier is 1730464652, issued on Oct 12, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Massapequa, NY. The record was last updated on Feb 7, 2014.