Bonfils-Roberts, Enrique Augusto

Bonfils-Roberts, Enrique Augusto is an individual health care provider with primary practice located at 234 E 149Th St 620, Bronx NY 10451-5504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bonfils-Roberts, Enrique Augusto can be contacted via phone (718) 579-5900.

Contact Information

Primary practice address
234 E 149Th St 620 Bronx NY 10451-5504
Phone: (718) 579-5900
Fax: (718) 579-4620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 111161 New York

Profile Details

NPI number 1437221702
LBN Legal business name Bonfils-Roberts, Enrique Augusto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437221702 NPPES
New York MEDICAID 00199202

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