Individual
DR. ENRIQUE AUGUSTO BONFILS-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, 620, BRONX, NY 10451-5504
(718) 579-5900
(718) 579-4620
Mailing address
15 CHARLES ST, 18-B, NEW YORK, NY 10014-3011
(212) 675-8422
(718) 579-4620
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
111161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00199202
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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