Jorge Bonilla Md Pc

LBN: Jorge Bonilla Md Pc
Jorge Bonilla Md Pc is an health care organization with primary practice located at 191 W Hoffman Ave , Lindenhurst NY 11757-4036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jorge Bonilla Md Pc can be contacted via phone (631) 608-4741, or through Bonilla, Jorge via phone (631) 608-4741.

Contact Information

Primary practice address
191 W Hoffman Ave Lindenhurst NY 11757-4036
Phone: (631) 608-4741
Fax: (631) 608-4742
Website:
Map and Directions
Authorized official contact:
Name: Bonilla, Jorge Doctor of Medicine (MD)
Phone: (631) 608-4741

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1669038329
LBN Legal business name Jorge Bonilla Md Pc
DBA Doing business as
Authorized official Bonilla, Jorge Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2019
Last updated Aug 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669038329 NPPES
New York Other 264692 LICENSE

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