Louis Bonavita, M.D. Valid NPI

Individual provider · Family Medicine Physician · East Syracuse, NY

NPI

1225025109

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

1840951 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-05

Last updated

2013-10-22