Vincent R Bonagura, MD | |
865 Northern Blvd, Suite 101, Great Neck, NY 11021-5310 | |
(516) 622-5070 | |
(516) 622-5060 |
Full Name | Vincent R Bonagura |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 50 Years |
Location | 865 Northern Blvd, Great Neck, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568556629 | NPI | - | NPPES |
00828937 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 127269 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Vincent R Bonagura, MD 175 Community Dr, 2nd Floor, Great Neck, NY 11021-5502 Ph: (516) 465-1900 | Vincent R Bonagura, MD 865 Northern Blvd, Suite 101, Great Neck, NY 11021-5310 Ph: (516) 622-5070 |
Susan Stillman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Barstow Rd, Great Neck, NY 11021 Phone: 516-482-4726 | |
Eric F Gould, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Community Dr, Suite 105, Great Neck, NY 11021 Phone: 516-829-9409 Fax: 516-829-2713 | |
Jacob M Grijnsztein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Northern Blvd, Great Neck, NY 11021 Phone: 516-487-6565 Fax: 516-487-3057 | |
Dr. Monica Shekher-kapoor, Pediatrics Medicare: Medicare Enrolled Practice Location: 36 North Dr, Great Neck, NY 11021 Phone: 516-263-0624 | |
Dr. Stephanie L Rosen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 173 E Shore Rd, Great Neck, NY 11023 Phone: 516-487-4020 Fax: 516-487-4039 | |
Blanka Kaplan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Sch - Dept Of Allergy Immunology, 865 Northern Boulevard, Great Neck, NY 11021 Phone: 516-622-5070 | |
Rebecca Goldstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Community Dr Ste 105, Great Neck, NY 11021 Phone: 516-829-9409 |