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

Richard Joseph Bonanno, MD

Individual provider Family Medicine Physician · NPI 1750472528

Richard Joseph Bonanno, MD is a Family Medicine Physician in Brentwood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1869 Brentwood Rd
Brentwood, NY 11717-4625
Phone: (631) 853-3458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 118089 (NY)

Record details

NPI number1750472528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESNovember 18, 2008

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