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Search › New York › 363A00000X

Brandon Bonanno

NPI 1518750397 · on the registry since 2025 · sole proprietor

Practice

Address
100 Nicolls Rd
Hsc T12 Rm 080
Stony Brook, NY 11794
Phone
(631) 444-1116
Fax
(631) 444-1535
Organisation at this address
Green Angels Collective
University Associates In Obstetrics & Gynecology, University Faculty P
Inferred from a shared address, not stated in the registry.
Clinicians at this address
168

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2025-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York