Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lenore Bonanno, MS, PA

Individual provider Physician Assistant · NPI 1750554515

MS. Lenore Bonanno, MS, PA is a Physician Assistant in Stony Brook, New York. Qualified in 2012, 14 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook University Cancer Ctr 3 Edmund Pellegrino Rd
Stony Brook, NY 11794-8183
Phone: (631) 444-3577
Fax: (631) 444-8909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013193 (NY)
Physician Assistant Taxonomy 363A00000X · Licence P63329 (NY)

Record details

NPI number1750554515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA
Sole proprietorNo
NPI enumeratedApril 11, 2008
Last updated in NPPESAugust 28, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Stony Brook