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MS. LIZZETTE BONILLA MASTERS PLUS 30
NPI 1700508496
Specialist in Deer Park, NY

Active since September 19, 2022
1014 GRAND BLVD STE 5, DEER PARK, NY 11729(631) 243-1765 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lizzette Bonilla Masters Plus 30 NPPES

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

MS. LIZZETTE BONILLA MASTERS PLUS 30 (NPI 1700508496) is an individual specialist in Deer Park, New York and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1700508496
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. LIZZETTE BONILLACredential: MASTERS PLUS 30
Location Address1014 GRAND BLVD STE 5Deer Park, NY 11729-5782
Mailing Address30 Saint Andrews DrBrentwood, NY 11717-1026 · (631) 428-1590
Phone(631) 243-1765
Sole ProprietorYes
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1700508496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1014 GRAND BLVD STE 5, Deer Park, NY 11729
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN LEE FUSCO OTR
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
DEBRA MARIE WILLLIAMS MS
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MAYAN ONEG BEROUKHIM OTR/L
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MRS. JULIE ROSE BILELLO
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
RAFAEL ALMANZAR-PARAMIO OTR/L
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MELANIE SPITZ
Speech-Language Pathologist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
ELANA JO SPAHN
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MRS. ELAINE ELIZABETH BOVA LMSW
Social Worker (School)
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765

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 Lizzette Bonilla's NPI number?

The NPI number for Lizzette Bonilla is 1700508496. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Lizzette Bonilla located?

Lizzette Bonilla practices at 1014 Grand Blvd Ste 5, Deer Park, NY 11729. The listed phone number is (631) 243-1765.

What is Lizzette Bonilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lizzette Bonilla was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.