Edward J Bonavilla (NPI# 1629030960, PAC ID# 4789707886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1629030960 |
| PAC ID by PECOS | 4789707886 |
| Professional Enrollment ID | I20130329000004 |
| Full Name | Edward J Bonavilla |
| Organization Legal Name | ROCHESTER FOOT CARE ASSOCIATES LLP |
| Address |
490 Titus Ave Rochester NY 14617-3541 |
| Phone Number | 5855443620 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3173640380 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 490 Titus Ave, Rochester, NY 14617-3541 | 5855443620 | ROCHESTER FOOT CARE ASSOCIATES LLP |
| Organization Legal Name | ROCHESTER FOOT CARE ASSOCIATES LLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David V Chazan | Podiatry | Rochester Foot Care Associates LLP | 490 Titus Ave, Rochester, NY 14617-3541 |
| Joseph L Carbone | Podiatry | Rochester Foot Care Associates LLP | 490 Titus Ave, Rochester, NY 14617-3541 |
| Street Address |
490 TITUS AVE |
| City | ROCHESTER |
| State | NY |
| Zip | 14617-3541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David V Chazan | Podiatry | Rochester Foot Care Associates LLP | 490 Titus Ave, Rochester, NY 14617-3541 |
| Joseph L Carbone | Podiatry | Rochester Foot Care Associates LLP | 490 Titus Ave, Rochester, NY 14617-3541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saundra Y Weatherup | Clinical Social Worker | 225 Sagamore Dr, Suite 2, Rochester, NY 14617-2405 | |
| Jay J Travers | Clinical Social Worker | 3542 Saint Paul Blvd, Rochester, NY 14617-2716 | |
| Judith A Lundquist | Clinical Social Worker | 572 Titus Ave, Suite B, Rochester, NY 14617-3519 | |
| Stephen T Hart | Qualified Audiologist | East Ridge Hearing and Speech Center Inc | 468 Titus Ave, Rochester, NY 14617-3541 |
| Sarah L Hodgson | Qualified Audiologist | East Ridge Hearing and Speech Center Inc | 468 Titus Ave, Rochester, NY 14617-3541 |
| Jeffrey Liberman | Internal Medicine | 485 Titus Ave, H, Rochester, NY 14617-3544 | |
| Steve B Park | Ophthalmology | Steve B. Park M.d. PC | 485 Titus Ave A, Rochester, NY 14617-3544 |
| Larisa Khishchenko | Internal Medicine | 485 Titus Ave, Suite H, Rochester, NY 14617-3544 | |
| Janet K Ross-comstock | Optometry | Steve B. Park M.d. PC | 485 Titus Ave A, Rochester, NY 14617-3544 |
| Janet D Kowal | Clinical Social Worker | 590 Titus Ave, Rochester, NY 14617-3919 | |
| Find all physicians in zip 14617 | |||
| City | ROCHESTER |
| Zip Code | 14617 |
| Specialty | PODIATRY |
| City + Specialty | ROCHESTER + PODIATRY |
Please comment or provide details below to improve the information on Edward J Bonavilla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.