Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine A Bonilla

Individual provider Specialist · NPI 1528308079

Katherine A Bonilla is a Specialist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

21215 35th Ave
Bayside, NY 11361-1516
Phone: (347) 582-6820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2290380 (NY)

Record details

NPI number1528308079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2013
Last updated in NPPESFebruary 21, 2013
Mailing address21215 35th Ave, Bayside, NY 11361-1516

Other providers in Bayside