| NPI | 1164673349 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-10-06 |
| Last Updated | 2023-09-06 |
| Mailing Address | 1111 Marcus Ave Ste M10c New Hyde Park, NY 11042-2036 United States Phone: (212) 266-3500 📍 View Map |
| Primary Practice Address | 1111 Marcus Ave Ste M10c New Hyde Park, NY 11042-2036 United States Phone: (212) 266-3500 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207V00000X – Obstetrics & Gynecology | NY | 236458 |
| Yes | 207VM0101X – Obstetrics & Gynecology, Maternal & Fetal Medicine | NY | 236458 |
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About NPI 1164673349
Clarissa Ann Bonanno M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164673349. The primary specialty listed is Obstetrics & Gynecology, Maternal & Fetal Medicine. The provider is located in New Hyde Park, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-10-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164673349?
NPI 1164673349 belongs to Clarissa Ann Bonanno M.D., a Obstetrics & Gynecology, Maternal & Fetal Medicine in New Hyde Park, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164673349 active?
The current status of NPI 1164673349 in the NPPES registry is Active. The record was last updated on 2023-09-06.
What specialty is NPI 1164673349?
NPI 1164673349 is classified under the taxonomy Obstetrics & Gynecology, Maternal & Fetal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164673349?
You can verify NPI 1164673349 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164673349?
The primary practice address on file for NPI 1164673349 is 1111 Marcus Ave Ste M10c, New Hyde Park, NY 11042-2036. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164673349 issued?
NPI 1164673349 was first issued (enumerated) on 2008-10-06. The NPPES record was last updated on 2023-09-06.
Practice Location Map
Clarissa Ann Bonanno is located at 1111 Marcus Ave Ste M10c, New Hyde Park, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Clarissa Ann Bonanno. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164673349. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | 236458 | NY |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 236458 | NY |