Dr Kevin Bonilla, MD | |
3001 Express Dr N, Islandia, NY 11749-5301 | |
(631) 292-6747 | |
Not Available |
Full Name | Dr Kevin Bonilla |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 3001 Express Dr N, Islandia, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730686403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 315669-01 (New York) | Primary |
Entity Name | Huntington Hospital Dolan Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578593588 PECOS PAC ID: 1153211792 Enrollment ID: O20040317001466 |
Entity Name | North Shore Lij Ob Gyn Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033453329 PECOS PAC ID: 7214172980 Enrollment ID: O20130329000011 |
Mailing Address | Practice Location Address |
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Dr Kevin Bonilla, MD 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3322 | Dr Kevin Bonilla, MD 3001 Express Dr N, Islandia, NY 11749-5301 Ph: (631) 292-6747 |
Dr. Eric Georges Crihfield, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Express Dr N Ste 116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767 | |
Sarah Tran, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N Ste 116, Islandia, NY 11749 Phone: 321-662-1050 | |
Vanessa Soviero, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Suite116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767 |