Individual
ELIZABETH TEXIDOR-BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 NORTH STREET, HARRISON, NY 10528
(914) 925-5211
Mailing address
333 JERICHO TPKE, STE 102, JERICHO, NY 11753-1104
(516) 937-9100
(516) 937-6938
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
332312
NY
Other
Enumeration date
08/30/2013
Last updated
01/30/2018
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