Individual
GABRIEL ANTONIO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595-1652
(202) 493-7693
Mailing address
95 GRASSLANDS RD, VALHALLA, NY 10595-1652
(202) 493-7693
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
263390
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2008
Last updated
12/02/2011
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