Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine A Bonilla

Individual provider Specialist · NPI 1528308079

Katherine A Bonilla is a Specialist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

21215 35th Ave
Bayside, NY 11361-1516
Phone: (347) 582-6820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2290380 (NY)

Record details

NPI number1528308079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2013
Last updated in NPPESFebruary 21, 2013

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