MS. Lizzette Bonilla, MASTERSPLUS30
MS. Lizzette Bonilla, MASTERSPLUS30 is a Specialist in Deer Park, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1014 Grand Blvd Ste 5Deer Park, NY 11729-5782
Phone: (631) 243-1765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1700508496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MASTERSPLUS30 |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2022 |
| Last updated in NPPES | September 19, 2022 |
| Certification date | September 16, 2022 |
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