Bonilla, Valentin

Bonilla, Valentin is an individual health care provider with primary practice located at 160 Water St 2420, New York NY 10038-4922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bonilla, Valentin can be contacted via phone (212) 256-2602.

Contact Information

Primary practice address
160 Water St 2420 New York NY 10038-4922
Phone: (212) 256-2602
Fax: (212) 256-2609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000569-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000569 New York

Profile Details

NPI number 1588811442
LBN Legal business name Bonilla, Valentin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2008
Last updated Jan 3rd, 2019 - about 5 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 1588811442 NPPES
New York MEDICAID 02994489

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