Individual provider · Type 1 NPI

Adam V. Bonanno, M.S.ED.

Specialist · Staten Island, NY

NPI number 1962765883 Active

Practice location

1535 Richmond Ave
Staten Island, NY 10314-1520

Mailing address

62 Cranberry Ct
Staten Island, NY 10309-1987

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1093188 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962765883

Adam V. Bonanno, M.S.ED.'s National Provider Identifier is 1962765883, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 18, 2012.