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LETICIA BONILLA
NPI 1417332123
Licensed Practical Nurse in New York, NY

Active since July 23, 2015
2107 AMSTERDAM AVE, NEW YORK, NY 10032(917) 736-0678(718) 528-3303 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Leticia Bonilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA BONILLA (NPI 1417332123) is an individual licensed practical nurse in New York, New York, licensed in New York (285118) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1417332123
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLETICIA BONILLA
Location Address2107 AMSTERDAM AVENew York, NY 10032-2506
Mailing Address2107 Amsterdam Ave, Apt 1bNew York, NY 10032-2506 · (917) 736-0678 · Fax (718) 528-3303
Phone(917) 736-0678
Fax(718) 528-3303
Sole ProprietorYes
Enumeration DateJuly 23, 2015
✔ NPI 1417332123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 285118
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2107 AMSTERDAM AVE, New York, NY 10032
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Bonilla's NPI number?

The NPI number for Leticia Bonilla is 1417332123. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Leticia Bonilla located?

Leticia Bonilla practices at 2107 Amsterdam Ave, New York, NY 10032. The listed phone number is (917) 736-0678.

What is Leticia Bonilla's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Leticia Bonilla was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.