Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Krista Hawthorne-Bonanno, KRISTABONANNO

Individual provider Specialist · NPI 1801151188

Mrs. Krista Hawthorne-Bonanno, KRISTABONANNO is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

114 Chandler Ave
Staten Island, NY 10314-2925
Phone: (718) 477-0351
Fax: (718) 477-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 173389021 (NY)

Record details

NPI number1801151188
Entity typeIndividual (Type 1)
GenderFemale
Credentials KRISTABONANNO
Sole proprietorYes
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 12, 2012

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