MS. Lissette Bonilla

NPI #1992083034 in Bronx, New York

Provider Information

NPI Number
1992083034
Entity Type
Individual
Name
MS. Lissette Bonilla
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 22, 2011
Last Updated
Jul 22, 2011

Practice Location

Address
3250 WESTCHESTER AVE
City
Bronx
ZIP Code
10461-4500
Phone
(718) 597-5558

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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