Individual provider · Type 1 NPI

Maite Bonilla

Mental Health Counselor · New York, NY

NPI number 1720954787 Active

Practice location

286 Fort Washington Ave Ste 1B1C
New York, NY 10032-1315

Call (212) 927-0300 Map

Fax (833) 992-2239

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720954787

Maite Bonilla's National Provider Identifier is 1720954787, issued on Oct 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Oct 15, 2025.