Individual provider · Type 1 NPI

Lizzette Bonilla, MASTERS PLUS 30

Specialist · Deer Park, NY

NPI number 1700508496 Active

Practice location

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782

Call (631) 243-1765 Map

Mailing address

30 Saint Andrews Dr
Brentwood, NY 11717-1026

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

15 other providers at this address

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About NPI 1700508496

Lizzette Bonilla, MASTERS PLUS 30's National Provider Identifier is 1700508496, issued on Sep 19, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Deer Park, NY. The record was last updated on Sep 19, 2022.