SearchNew York174400000X

Lizzette Bonilla, MASTERS PLUS 30

NPI 1700508496 · on the registry since 2022 · sole proprietor

Practice

Address
1014 Grand Blvd Ste 5
Deer Park, NY 11729
Phone
(631) 243-1765
Organisation at this address
Kids First Evaluation And Advocacy Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
174400000X
174400000X
Sex
Female
Record last updated
2022-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York