Individual
MR. PAUL BONILLA JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
200 W 145TH ST APT 7, NEW YORK, NY 10039-4109
(718) 730-3902
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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