Individual
ALEX BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2925
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
328642
NY
Other
Enumeration date
03/26/2020
Last updated
07/15/2024
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