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Elizabeth Bonilla, NP
Adult Health Nurse Practitioner in Bay Shore, New York
NPI 1184148827

Elizabeth Bonilla is an Adult Health Nurse Practitioner based in Farmingdale, NY and is specialized in Adult Health. Elizabeth Bonilla practices in Bay Shore, NY and has the professional credentials of NP. The NPI Number for Elizabeth Bonilla is 1184148827 and holds a License No. 308333 (New York).

The current practice location address for Elizabeth Bonilla is 301 E Main St Bldg 217, Bay Shore, NY and can be reached out via phone at 631-968-3683.

Location: 301 E Main St Bldg 217, Bay Shore, NY, 11735-2650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184148827
Provider Name
Elizabeth Bonilla
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St Bldg 217, Bay Shore, NY, 11735-2650
Phone Number
631-968-3683
Fax Number
Provider Enumeration Date
08/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St Bldg 217
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3683
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St Bldg 217
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3683
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
308333 (New York)
Definition
Definition to come...
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