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Ms. Lizzette Bonilla, MASTERSPLUS30
Specialist in Deer Park, New York
NPI 1700508496

Lizzette Bonilla is a Specialist based in Brentwood, NY. Lizzette Bonilla practices in Deer Park, NY and has the professional credentials of MASTERSPLUS30. The NPI Number for Lizzette Bonilla is 1700508496 and holds a License No. (New York).

The current practice location address for Lizzette Bonilla is 1014 Grand Blvd Ste 5, Deer Park, NY and can be reached out via phone at 631-243-1765.

Location: 1014 Grand Blvd Ste 5, Deer Park, NY, 11717-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700508496
Provider Name
Lizzette Bonilla
Credential
MASTERSPLUS30
Provider Entity Type
Individual
Gender
Female
Address
1014 Grand Blvd Ste 5, Deer Park, NY, 11717-1026
Phone Number
631-243-1765
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
person
Provider Business Mailing Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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