Individual
CASSANDRA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
7 W 14TH ST, HUNTINGTON STATION, NY 11746-2320
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
767454
NY
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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