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

Mrs. Bonnie M Krisak

Individual provider Specialist · NPI 1023794419

Mrs. Bonnie M Krisak is a Specialist in Liverpool, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

8122 Portobello Way
Liverpool, NY 13090-6827
Phone: (315) 715-5575
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1023794419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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