JOHNNY BONILLA

EAST PATCHOGUE, NY
NPI1467082958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  045343-01)
Enumeration Date2020-01-23
Last Update Date2020-01-24
Business Address
JOHNNY BONILLA DPT
191 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772-4899
Phone number: 516-551-4722
Mailing Address
JOHNNY BONILLA DPT
191 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772-4899
Phone number: 516-551-4722
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