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JOHN D. BONANNO, M.D., P.C.

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Company Details

Name: JOHN D. BONANNO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Oct 1981 (44 years ago)
Entity Number: 726736
ZIP code: 11530
County: New York
Place of Formation: New York
Address: 1010 FRANKLIN AVE., SUITE 408, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
RICHARD G. HANDLER DOS Process Agent 1010 FRANKLIN AVE., SUITE 408, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1013216910

Authorized Person:

Name:
JOHN DANTE BONANNO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2125706416

Filings

Filing Number Date Filed Type Effective Date
A826946-4 1981-12-24 CERTIFICATE OF AMENDMENT 1981-12-24
A803667-4 1981-10-06 CERTIFICATE OF INCORPORATION 1981-10-06

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State