160 BROADWAY, NEW YORK, 10038, NEW YORK
| Entity Name | PHILIP A. BONANNO, M.D., P.C. |
| Entity Number | 574929 |
| Status | ACTIVE |
| Incorporation Date | 13th August 1979 |
| Dos Process Address | 10 CEDAR SWAMP RD, GLEN COVE, 11542, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |