| Dr Kevin Bonilla, MD | |
|
3001 Express Dr N, Islandia, NY 11749-5301 | |
| (631) 292-6747 | |
| Not Available |
| Full Name | Dr Kevin Bonilla |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 3001 Express Dr N, Islandia, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730686403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 315669-01 (New York) | Primary |
| Entity Name | Huntington Hospital Dolan Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578593588 PECOS PAC ID: 1153211792 Enrollment ID: O20040317001466 |
| Entity Name | North Shore Lij Ob Gyn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033453329 PECOS PAC ID: 7214172980 Enrollment ID: O20130329000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Bonilla, MD 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3322 | Dr Kevin Bonilla, MD 3001 Express Dr N, Islandia, NY 11749-5301 Ph: (631) 292-6747 |
Dr. Eric Georges Crihfield, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Express Dr N Ste 116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767 | |
Sarah Tran, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N Ste 116, Islandia, NY 11749 Phone: 321-662-1050 | |
Vanessa Soviero, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3001 Expressway Dr N, Suite116, Islandia, NY 11749 Phone: 631-292-6747 Fax: 631-292-6767 |