Bonilla, Johnny

Bonilla, Johnny is an sole proprietor health care provider with primary practice located at 191 Patchogue Yaphank Rd , East Patchogue NY 11772-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bonilla, Johnny can be contacted via phone (516) 551-4722.

Contact Information

Primary practice address
191 Patchogue Yaphank Rd East Patchogue NY 11772-4899
Phone: (516) 551-4722
Fax: (631) 475-0975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 045343-01 New York

Profile Details

NPI number 1467082958
LBN Legal business name Bonilla, Johnny
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2020
Last updated Jan 24th, 2020 - about 4 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 1467082958 NPPES
New York Other 045343-01 NYS PT LICENSE

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