MS. Lizzette Bonilla, MASTERS PLUS 30

NPI #1700508496 in Deer Park, New York

Provider Information

NPI Number
1700508496
Entity Type
Individual
Name
MS. Lizzette Bonilla, MASTERS PLUS 30
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MASTERS PLUS 30
Enumeration Date
Sep 19, 2022
Last Updated
Sep 19, 2022

Practice Location

Address
1014 GRAND BLVD STE 5
ZIP Code
11729-5782
Phone
(631) 243-1765

Specialties & Taxonomy Codes

Specialty
Specialist

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